20526

Injection of carpal tunnel

Medicare pricing data for 12,911 providers across 52 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

Injection of carpal tunnel (HCPCS code 20526) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $86.63, but hospitals typically charge $310.65 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.33

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $86.63, your out-of-pocket cost would be approximately $17.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$86.63
Average Hospital Charge
$310.65
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$310.65
Medicare Allowed$86.63
Medicare Payment$64.98

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $64.98 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$108$5852395+24.7%
New York$101$4817124,721+16.4%
New Jersey$97$4504463,301+11.6%
Maryland$94$2602671,443+8.6%
Puerto Rico$93$11334125+7.9%
Connecticut$92$363147993+6.3%
Michigan$92$2164413,176+6.2%
Illinois$92$3614953,153+5.9%
California$91$3139036,297+5.0%
Florida$89$3028946,858+3.3%
Massachusetts$89$3433092,426+3.3%
Kentucky$88$3022312,463+1.6%
Delaware$88$28633184+1.2%
Pennsylvania$87$2515483,322+0.7%
Colorado$86$309196838-0.3%
Nevada$86$495104756-0.9%
Arizona$86$3282861,619-1.2%
Texas$85$2598414,814-1.7%
Washington$85$240242831-1.8%
Hawaii$85$17537273-2.0%
Georgia$84$3323532,185-2.8%
Utah$84$250149477-3.6%
South Carolina$83$2492782,050-4.2%
Virginia$83$2664133,031-4.2%
Oregon$82$274122405-4.9%
North Carolina$82$2856443,604-5.3%
Missouri$82$337187960-5.6%
Louisiana$81$3302421,673-6.4%
Minnesota$81$3572991,039-6.5%
New Hampshire$81$28969390-6.7%
New Mexico$81$22968255-6.7%
Mississippi$81$2841401,270-6.9%
Indiana$80$2873431,818-7.3%
Rhode Island$80$27043262-7.6%
Ohio$80$2535612,954-7.7%
District of Columbia$80$21827137-7.8%
Alabama$80$187180802-8.1%
Oklahoma$79$202126851-9.1%
Wyoming$79$32243137-9.2%
Kansas$78$280126558-9.8%
Montana$78$23064363-9.9%
South Dakota$78$33067346-9.9%
Tennessee$78$2933502,059-10.0%
Iowa$78$316122866-10.0%
Nebraska$78$27768303-10.4%
Wisconsin$76$557233700-12.1%
West Virginia$75$21957324-13.1%
Arkansas$74$27896575-14.6%
Idaho$72$23597281-16.5%
Maine$71$20551181-18.4%
North Dakota$65$25957412-25.4%
Vermont$63$26132175-27.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber