CPT 23605 Surgery - Musculoskeletal
Cltx prx hmrl fx mnpj+-tract Cost
Body System: Musculoskeletal
Medicare Facility Rate
$441
CMS PFS CY2026
Medicare Non-Facility Rate
$535
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.93
Work RVU
7.19
Facility PE RVU
1.08
Malpractice RVU
16.01
Total RVU
Frequently Asked Questions
How much does Cltx prx hmrl fx mnpj+-tract cost?
The Medicare facility rate is $441. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cltx prx hmrl fx mnpj+-tract 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 $441.