CPT 25670 Surgery - Musculoskeletal
Optx rdcrpl/ntrcrpl dislc 1+ Cost
Body System: Musculoskeletal
Medicare Facility Rate
$580
CMS PFS CY2026
Medicare Non-Facility Rate
$580
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
7.89
Work RVU
7.80
Facility PE RVU
1.68
Malpractice RVU
17.37
Total RVU
Frequently Asked Questions
How much does Optx rdcrpl/ntrcrpl dislc 1+ cost?
The Medicare facility rate is $580. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Optx rdcrpl/ntrcrpl dislc 1+ 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 $580.