CPT 23505 Surgery - Musculoskeletal
Cltx clavicular fx w/mnpj Cost
Body System: Musculoskeletal
Medicare Facility Rate
$345
CMS PFS CY2026
Medicare Non-Facility Rate
$409
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.73
Work RVU
5.80
Facility PE RVU
0.81
Malpractice RVU
12.24
Total RVU
Frequently Asked Questions
How much does Cltx clavicular fx w/mnpj cost?
The Medicare facility rate is $345. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cltx clavicular fx w/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 $345.