CPT 23078 Surgery - Musculoskeletal
Rad rescj tum shoulder 5cm/> Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,326
CMS PFS CY2026
Medicare Non-Facility Rate
$1,326
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
21.99
Work RVU
12.68
Facility PE RVU
5.02
Malpractice RVU
39.69
Total RVU
Frequently Asked Questions
How much does Rad rescj tum shoulder 5cm/> cost?
The Medicare facility rate is $1,326. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rad rescj tum shoulder 5cm/> cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,326.