CPT 23515 Surgery - Musculoskeletal
Optx clavicular fx w/int fix Cost
Body System: Musculoskeletal
Medicare Facility Rate
$679
CMS PFS CY2026
Medicare Non-Facility Rate
$679
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
9.45
Work RVU
8.94
Facility PE RVU
1.94
Malpractice RVU
20.33
Total RVU
Frequently Asked Questions
How much does Optx clavicular fx w/int fix cost?
The Medicare facility rate is $679. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Optx clavicular fx w/int fix 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 $679.