CPT 25420 Surgery - Musculoskeletal
Repair/graft radius & ulna Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,068
CMS PFS CY2026
Medicare Non-Facility Rate
$1,068
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
16.61
Work RVU
11.84
Facility PE RVU
3.54
Malpractice RVU
31.99
Total RVU
Frequently Asked Questions
How much does Repair/graft radius & ulna cost?
The Medicare facility rate is $1,068. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Repair/graft radius & 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 $1,068.