CPT 25442 Surgery - Musculoskeletal
Arthrp w/prostc dstl ulna Cost
Body System: Musculoskeletal
Medicare Facility Rate
$741
CMS PFS CY2026
Medicare Non-Facility Rate
$741
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
10.84
Work RVU
9.28
Facility PE RVU
2.05
Malpractice RVU
22.17
Total RVU
Frequently Asked Questions
How much does Arthrp w/prostc dstl ulna cost?
The Medicare facility rate is $741. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Arthrp w/prostc dstl 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 $741.