CPT 25520 Surgery - Musculoskeletal
Cltx rdl shft fx&dislc Cost
Body System: Musculoskeletal
Medicare Facility Rate
$532
CMS PFS CY2026
Medicare Non-Facility Rate
$637
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.34
Work RVU
8.25
Facility PE RVU
1.34
Malpractice RVU
19.06
Total RVU
Frequently Asked Questions
How much does Cltx rdl shft fx&dislc cost?
The Medicare facility rate is $532. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cltx rdl shft fx&dislc 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 $532.