CPT 24430 Surgery - Musculoskeletal
Rpr non/mal humerus wo graft Cost
Body System: Musculoskeletal
Medicare Facility Rate
$970
CMS PFS CY2026
Medicare Non-Facility Rate
$970
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
14.87
Work RVU
11.10
Facility PE RVU
3.06
Malpractice RVU
29.03
Total RVU
Frequently Asked Questions
How much does Rpr non/mal humerus wo graft cost?
The Medicare facility rate is $970. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Rpr non/mal humerus wo graft 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 $970.