CPT 23585 Surgery - Musculoskeletal
Optx scapular fx w/int fixj Cost
Body System: Musculoskeletal
Medicare Facility Rate
$895
CMS PFS CY2026
Medicare Non-Facility Rate
$895
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
13.87
Work RVU
10.12
Facility PE RVU
2.82
Malpractice RVU
26.81
Total RVU
Frequently Asked Questions
How much does Optx scapular fx w/int fixj cost?
The Medicare facility rate is $895. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Optx scapular fx w/int fixj 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 $895.