Price Checker / CPT 23585
How much does Optx Scapular Fx W/int Fixj cost?
CPT 23585 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 19x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,350–$2,700
What this should cost
With insurance
~$3,900
Typical out-of-pocket
Overcharged if over
$3,400
Push back above this
The average hospital charge of $38,797 is $36,747 over the fair price (about 19x the fair rate).
What hospitals charge for Optx Scapular Fx W/int Fixj
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Memorial Medical Center PORT LAVACA, NM | $63,599 | — | 7002% |
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $46,294 | — | 5070% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $46,294 | — | 5070% |
| Southern Tennessee Regional Health System - Lawrenceburg , TN | $34,866 | — | 3794% |
| North Shore Hospital Grand Marais, MN | $2,935 | — | 131% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Optx Scapular Fx W/int Fixj
CPT code 23585 refers to optx scapular fx w/int fixj (billing description: "Optx scapular fx w/int fixj"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $895 in a facility (hospital or surgery center) and $895 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.