CPT 24535 Surgery - Musculoskeletal
Cltx sprcndylr humeral fx w/ Cost
Body System: Musculoskeletal
Medicare Facility Rate
$565
CMS PFS CY2026
Medicare Non-Facility Rate
$690
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.93
Work RVU
8.51
Facility PE RVU
1.47
Malpractice RVU
20.66
Total RVU
Frequently Asked Questions
How much does Cltx sprcndylr humeral fx w/ cost?
The Medicare facility rate is $565. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cltx sprcndylr humeral fx w/ 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 $565.