CPT 23500 Surgery - Musculoskeletal
Cltx clavicular fx w/o mnpj Cost
Body System: Musculoskeletal
Medicare Facility Rate
$245
CMS PFS CY2026
Medicare Non-Facility Rate
$258
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.15
Work RVU
4.74
Facility PE RVU
0.45
Malpractice RVU
7.73
Total RVU
Frequently Asked Questions
How much does Cltx clavicular fx w/o mnpj cost?
The Medicare facility rate is $245. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cltx clavicular fx w/o mnpj 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 $245.