CPT 23575 Surgery - Musculoskeletal
Cltx scap fx w/mnpj +-tractj Cost
Body System: Musculoskeletal
Medicare Facility Rate
$379
CMS PFS CY2026
Medicare Non-Facility Rate
$459
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.12
Work RVU
6.35
Facility PE RVU
0.88
Malpractice RVU
13.74
Total RVU
Frequently Asked Questions
How much does Cltx scap fx w/mnpj +-tractj cost?
The Medicare facility rate is $379. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cltx scap fx w/mnpj +-tractj 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 $379.