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Package

Clavicle/Scapula Repair - Non-Surgical

Package

Clavicle/Scapula Repair - Non-Surgical

Non-surgical clavicle (collarbone) or scapula (shoulder blade) repair is often recommended for fractures that are stable and well-aligned. Most clavicle and scapula fractures can heal without surgery, especially if the bones remain in position and there is minimal displacement. Non-surgical treatment focuses on allowing the bone to heal naturally while providing support to ensure proper alignment during the healing process. This approach is typically chosen when the fracture is simple, does not involve severe displacement, and does not affect critical structures like nerves or blood vessels.

In cases of non-surgical clavicle repair, the primary treatment is the use of a sling to immobilize the shoulder and keep the collarbone in the correct position. The sling supports the arm, reducing movement that could shift the broken bone fragments. Patients typically wear the sling for several weeks, depending on the severity of the fracture and the patient’s overall health. Pain management is usually handled with over-the-counter pain relievers such as acetaminophen or ibuprofen. Applying ice to the injured area can help reduce swelling during the initial days after the injury.

Similarly, non-surgical treatment for a scapula fracture usually involves immobilizing the shoulder with a sling. Scapula fractures are less common and often occur due to high-impact trauma, such as a car accident or fall. Because the scapula is surrounded by muscles that help hold the bone in place, many scapula fractures can heal without surgery as long as the bone fragments are properly aligned. Physical therapy may be started once the initial pain subsides to maintain shoulder mobility and prevent stiffness, though strenuous activity is avoided until the bone has healed sufficiently.

The healing process for both clavicle and scapula fractures typically takes around 6 to 12 weeks, depending on the severity of the fracture and the patient’s age and health. During this time, the bone forms a callus as part of the body’s natural healing process, gradually rebuilding the bone tissue and strengthening the fracture site. Follow-up visits with the doctor will be necessary to monitor the healing progress and ensure the bone is healing in the correct position. X-rays may be taken periodically to confirm that the bone is properly aligned and progressing as expected.

While most clavicle and scapula fractures heal successfully with non-surgical treatment, there are some potential risks. In certain cases, the bone fragments may shift out of alignment during the healing process, leading to malunion (improperly healed bone) or nonunion (failure of the bone to heal). These complications could result in ongoing pain, limited mobility, or cosmetic deformity. In such cases, surgery may become necessary to realign the bone and promote proper healing. However, with proper immobilization and care, most patients recover fully from non-surgical clavicle or scapula repair and regain normal function of the shoulder.

Once the bone has healed sufficiently, physical therapy is often recommended to restore strength and range of motion to the shoulder. Exercises focus on gradually increasing mobility, rebuilding muscle strength, and improving flexibility. Full recovery can take several months, but most patients regain full use of their shoulder and experience minimal long-term effects if the bone heals properly.

Mount Sinai Rehabilitation Center

1450 Madison Ave, New York, NY 10029
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Nearest station
103 St
7 minute walk
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Up to
$2,722 / Case Rate

A single, all-inclusive pricing methodology for a procedure in health care contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Mount Sinai Rehabilitation Center
$2,722

Without insurance

What goes into a price?

Prices across providers

This provider
$2,722
Lowest
$466
Highest
$5,342

Self pay or cash prices vary by provider when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts providers charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Clavicle/Scapula Repair - Non-Surgical Standard Service Package (SSP MS028). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 23505 Base Code Clavicle/Scapula Repair - Non-Surgical
HCPCS 23505 Professional Fee Clavicle/Scapula Repair - Non-Surgical
HCPCS 99284 Professional Fee Emergency department visit for moderate complexity evaluation and management with counseling/coordination of care
RC 0250 Facility Fee Pharmacy (Also see 063X, an extension of 250X) - General
HCPCS J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
HCPCS 99283 Facility Fee Ed visit for moderate complexity assessment, history, exam, & counseling

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

Up to
$2,722 / Case Rate

A single, all-inclusive pricing methodology for a procedure in health care contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Mount Sinai Rehabilitation Center

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

Turquoise Health has developed SSPs which combine multiple medical services, materials, and fees associated with a health care visit or procedure into a single bundle to offer a more comprehensive estimate. SSPs are designed based on how health care procedures are commonly billed on claims. When discussing estimates with healthcare providers, you can refer to the individual codes listed in the 'Procedures included in this package' section of the tool.

Contact provider to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Clavicle/Scapula Repair - Non-Surgical
Service Codes HCPCS 23505, HCPCS 99284, Revenue Code 0250, HCPCS J3010, HCPCS 99283
Insurance I'm not using insurance
Provider Mount Sinai Rehabilitation Center
When you contact them, you can say:
"Hi, I'm calling to verify a price for Clavicle/Scapula Repair - Non-Surgical I found through NYC Health Department's price estimate tool. Here are the codes I’m looking at: HCPCS 23505, HCPCS 99284, Revenue Code 0250, HCPCS J3010, HCPCS 99283. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"