CPT 21315 Surgery - Musculoskeletal

How Much Does Clsd Treatment Nsl Fracture Manipulation under Wo Stblj Cost?

Also known as: Clsd tx nsl fx mnpj wo stblj (CPT 21315)

Closed treatment of a nasal bone fracture with manipulation (repositioning).

The total estimated cost of Clsd Treatment Nsl Fracture Manipulation under Wo Stblj (CPT 21315) is $181 to $339, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $54.

Total Estimated Cost of Care

$181 — $339

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$54
Hospital Facility Fee
$161
Anesthesia (est.)
$11
Important: The physician fee of $54 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$54
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$160
Non-facility setting

Patient Guide: Clsd Treatment Nsl Fracture Manipulation under Wo Stblj

What you need to know before your appointment

What to Expect

After numbing the nose (local or general anesthesia), the doctor manually realigns the broken nasal bones. Splints may be placed inside and outside the nose.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Displaced nasal fracture, crooked nose after injury

How to Prepare

Best done within 10-14 days of injury. Nasal splints stay for 1 week. No contact sports for 6 weeks.

Procedures Commonly Done Together

These procedures are frequently performed alongside Clsd tx nsl fx mnpj wo stblj

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How to Reduce Your Cost for Clsd tx nsl fx mnpj wo stblj

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($160) differs from the facility rate ($54). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.94
Work RVU
0.51
Practice Expense RVU
0.16
Malpractice RVU
4.79
Total RVU

Payment = Total RVU (4.79) x CF ($33.40) = $160

Frequently Asked Questions

How much does Clsd tx nsl fx mnpj wo stblj cost?

The Medicare facility rate for Clsd tx nsl fx mnpj wo stblj is $54. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Clsd tx nsl fx mnpj wo stblj cost without insurance?

Without insurance, the cost of Clsd tx nsl fx mnpj wo stblj can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Clsd tx nsl fx mnpj wo stblj?

Most commercial health insurance plans and Medicare cover Clsd tx nsl fx mnpj wo stblj when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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