CPT 25530 Surgery - Musculoskeletal

Cltx ulnar shft fx w/o mnpj Cost

Body System: Musculoskeletal

Medicare Facility Rate
$254
CMS PFS CY2026
Medicare Non-Facility Rate
$302
Office/clinic setting

Relative Value Units (RVUs)

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

2.18
Work RVU
4.99
Facility PE RVU
0.44
Malpractice RVU
9.04
Total RVU

Frequently Asked Questions

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

The Medicare facility rate is $254. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Cltx ulnar 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 $254.

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