CPT 25426 Surgery - Musculoskeletal
Repair/graft radius & ulna Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,027
CMS PFS CY2026
Medicare Non-Facility Rate
$1,027
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
16.04
Work RVU
11.30
Facility PE RVU
3.41
Malpractice RVU
30.75
Total RVU
Frequently Asked Questions
How much does Repair/graft radius & ulna cost?
The Medicare facility rate is $1,027. 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 $1,027.