CPT 25526 Surgery - Musculoskeletal
Optx rdl shft fx&dstl rad/ul Cost
Body System: Musculoskeletal
Medicare Facility Rate
$895
CMS PFS CY2026
Medicare Non-Facility Rate
$895
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
12.82
Work RVU
11.25
Facility PE RVU
2.73
Malpractice RVU
26.80
Total RVU
Frequently Asked Questions
How much does Optx rdl shft fx&dstl rad/ul cost?
The Medicare facility rate is $895. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Optx rdl shft fx&dstl rad/ul 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 $895.