CPT 23625 Surgery - Musculoskeletal
Cltx gr hmrl tbrs fx w/mnpj Cost
Body System: Musculoskeletal
Medicare Facility Rate
$377
CMS PFS CY2026
Medicare Non-Facility Rate
$448
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.00
Work RVU
6.42
Facility PE RVU
0.88
Malpractice RVU
13.42
Total RVU
Frequently Asked Questions
How much does Cltx gr hmrl tbrs fx w/mnpj cost?
The Medicare facility rate is $377. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cltx gr hmrl tbrs 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 $377.