CPT 25500 Surgery - Musculoskeletal

Cltx rdl shft fx w/o mnpj Cost

Body System: Musculoskeletal

Medicare Facility Rate
$273
CMS PFS CY2026
Medicare Non-Facility Rate
$327
Office/clinic setting

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

2.54
Work RVU
5.12
Facility PE RVU
0.51
Malpractice RVU
9.78
Total RVU

Frequently Asked Questions

How much does Cltx rdl shft fx w/o mnpj cost?

The Medicare facility rate is $273. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Cltx rdl shft fx w/o mnpj 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 $273.

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