CPT 25405 Surgery - Musculoskeletal
Repair/graft radius or ulna Cost
Body System: Musculoskeletal
Medicare Facility Rate
$939
CMS PFS CY2026
Medicare Non-Facility Rate
$939
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
14.63
Work RVU
10.62
Facility PE RVU
2.87
Malpractice RVU
28.12
Total RVU
Frequently Asked Questions
How much does Repair/graft radius or ulna cost?
The Medicare facility rate is $939. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Repair/graft radius or ulna 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 $939.