26123

Removal of connective tissue of palm and release of finger, first digit

Medicare pricing data for 4,163 providers across 51 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Removal of connective tissue of palm and release of finger, first digit (HCPCS code 26123) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,024, but hospitals typically charge $5,014 — a 4.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$204.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,024, your out-of-pocket cost would be approximately $204.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,024
Average Hospital Charge
$5,014
Markup Ratio
4.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$5,014.36
Medicare Allowed$1,024.20
Medicare Payment$809.66

Hospitals charge 4.9x more than what Medicare allows for this procedure. Medicare actually pays $809.66 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$1,195$6,0503771,698+16.7%
Alaska$1,185$11,0871555+15.7%
Connecticut$1,156$6,16864208+12.9%
New Jersey$1,143$8,656108373+11.6%
Oregon$1,127$3,75259215+10.1%
Delaware$1,106$3,94211123+8.0%
Maryland$1,098$5,72991458+7.2%
New York$1,087$6,431194640+6.1%
Colorado$1,085$6,10887380+6.0%
Washington$1,082$3,056120636+5.7%
Illinois$1,068$6,496144584+4.3%
District of Columbia$1,068$3,919820+4.3%
Rhode Island$1,063$4,2661972+3.8%
Wyoming$1,058$5,6201537+3.3%
Hawaii$1,041$2,989915+1.6%
New Hampshire$1,041$5,83930142+1.6%
Florida$1,032$5,4222921,259+0.7%
Minnesota$1,029$4,75290297+0.4%
Georgia$1,026$6,218120490+0.2%
Arizona$1,025$5,68294456+0.1%
Virginia$1,025$5,77899620+0.0%
Pennsylvania$1,006$4,550189717-1.7%
Michigan$1,003$4,160141427-2.0%
Nevada$997$7,04133175-2.6%
Montana$997$3,0482086-2.7%
Massachusetts$985$4,346115544-3.9%
Indiana$983$5,97689352-4.0%
Maine$978$3,1302493-4.5%
North Carolina$977$3,577133518-4.6%
Iowa$977$3,80039155-4.6%
Utah$976$3,8904189-4.8%
New Mexico$970$4,1792282-5.3%
Nebraska$966$3,47533137-5.7%
Missouri$958$4,85083265-6.5%
Mississippi$954$4,24036154-6.8%
Alabama$949$2,95563250-7.3%
Tennessee$946$3,86098406-7.6%
Texas$939$4,4652771,039-8.4%
Kansas$934$4,99447216-8.8%
Ohio$930$3,638156453-9.2%
Wisconsin$922$6,93881225-10.0%
North Dakota$919$3,1281488-10.2%
Louisiana$919$4,45951155-10.3%
South Carolina$911$3,55976364-11.1%
Idaho$902$3,21732124-11.9%
Kentucky$896$3,75245184-12.5%
Arkansas$843$2,90943170-17.7%
Vermont$812$2,8921039-20.7%
Oklahoma$807$1,98946129-21.2%
South Dakota$800$2,6411161-21.9%
West Virginia$771$2,755928-24.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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