CPT 25605 Surgery
Closed treatment of distal radial fracture Cost
Body System: Musculoskeletal
Medicare Facility Rate
$243
CMS PFS CY2026
Medicare Non-Facility Rate
$295
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$873
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
5.04
Work RVU
1.85
Facility PE RVU
0.62
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $653 | $968 — $1,489 |
| AK — ALASKA* | $330 | $495 — $824 |
| AL — ALABAMA | $495 | $740 — $1,139 |
| AR — ARKANSAS | $487 | $729 — $1,122 |
| AZ — ARIZONA | $536 | $805 — $1,238 |
| AZ — Phoenix | $249 | $373 — $622 |
| CA — BAKERSFIELD | $567 | $859 — $1,322 |
| CA — CHICO | $563 | $854 — $1,314 |
| CA — EL CENTRO | $564 | $855 — $1,315 |
| CA — FRESNO | $563 | $854 — $1,314 |
| CA — HANFORD-CORCORAN | $563 | $854 — $1,314 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $600 | $912 — $1,403 |
| CA — Los Angeles | $266 | $399 — $665 |
| CA — MADERA | $563 | $854 — $1,314 |
| CA — MERCED | $563 | $854 — $1,314 |
| CA — MODESTO | $563 | $854 — $1,314 |
| CA — NAPA | $638 | $977 — $1,502 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $595 | $906 — $1,393 |
| CA — REDDING | $563 | $854 — $1,314 |
| CA — REST OF CALIFORNIA | $563 | $854 — $1,314 |
Frequently Asked Questions
How much does Closed treatment of distal radial fracture cost?
The Medicare facility rate is $243. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $873.
How much does Closed treatment of distal radial fracture 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 $243.