Incision of tendon covering of finger
Medicare pricing data for 10,511 providers across 52 states
This procedure has a 7.8x markup — hospitals charge $2,846 but Medicare allows only $364.75. Uninsured patients may face bills 7.8 times higher than what insurance negotiates. Prices vary significantly by location — from $213 in South Dakota to $493 in Alaska. Where you get this procedure matters more than almost any other factor. 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
Incision of tendon covering of finger (HCPCS code 26055) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $364.75, but hospitals typically charge $2,846 — a 7.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $364.75, your out-of-pocket cost would be approximately $72.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 7.8x more than what Medicare allows for this procedure. Medicare actually pays $286.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $493 | $6,452 | 41 | 392 | +35.2% |
| Hawaii | $452 | $1,726 | 33 | 366 | +23.8% |
| California | $443 | $3,335 | 889 | 10,972 | +21.3% |
| Maryland | $420 | $3,083 | 205 | 3,765 | +15.1% |
| New Jersey | $413 | $5,498 | 276 | 3,983 | +13.1% |
| Connecticut | $409 | $3,466 | 134 | 1,830 | +12.1% |
| Colorado | $401 | $3,852 | 199 | 3,628 | +10.1% |
| Rhode Island | $397 | $2,579 | 32 | 515 | +8.8% |
| Oregon | $395 | $2,131 | 145 | 1,762 | +8.3% |
| Delaware | $395 | $2,693 | 29 | 1,350 | +8.2% |
| Wyoming | $394 | $2,496 | 58 | 612 | +8.0% |
| Utah | $393 | $2,122 | 131 | 1,570 | +7.8% |
| New York | $389 | $3,702 | 438 | 6,191 | +6.6% |
| Illinois | $388 | $3,954 | 381 | 6,031 | +6.4% |
| New Hampshire | $383 | $2,980 | 58 | 1,275 | +5.1% |
| Washington | $380 | $1,655 | 234 | 4,160 | +4.3% |
| Florida | $379 | $3,253 | 701 | 12,354 | +3.8% |
| Minnesota | $376 | $2,361 | 223 | 2,232 | +3.1% |
| Iowa | $369 | $2,285 | 109 | 1,842 | +1.2% |
| Arizona | $369 | $3,313 | 205 | 4,969 | +1.2% |
| Michigan | $366 | $2,132 | 324 | 3,519 | +0.2% |
| Virginia | $360 | $2,714 | 257 | 4,696 | -1.2% |
| North Carolina | $360 | $2,239 | 390 | 5,005 | -1.2% |
| Georgia | $359 | $3,319 | 349 | 4,532 | -1.5% |
| Montana | $358 | $1,609 | 53 | 943 | -1.7% |
| Massachusetts | $357 | $2,300 | 226 | 3,190 | -2.1% |
| Nevada | $357 | $3,664 | 64 | 1,205 | -2.1% |
| Indiana | $357 | $2,931 | 246 | 3,699 | -2.1% |
| Nebraska | $350 | $2,545 | 77 | 1,363 | -3.9% |
| Maine | $338 | $1,408 | 49 | 451 | -7.5% |
| Tennessee | $335 | $2,536 | 268 | 4,135 | -8.1% |
| Pennsylvania | $335 | $2,211 | 470 | 6,940 | -8.1% |
| Wisconsin | $333 | $3,515 | 238 | 2,630 | -8.8% |
| Mississippi | $331 | $2,420 | 117 | 1,877 | -9.1% |
| South Carolina | $330 | $2,070 | 172 | 3,534 | -9.5% |
| Kansas | $327 | $2,459 | 148 | 2,028 | -10.3% |
| Ohio | $327 | $2,145 | 450 | 5,450 | -10.3% |
| Alabama | $327 | $1,904 | 200 | 2,578 | -10.5% |
| Texas | $326 | $2,817 | 752 | 8,518 | -10.7% |
| District of Columbia | $326 | $1,628 | 13 | 226 | -10.7% |
| Missouri | $324 | $2,988 | 236 | 2,669 | -11.1% |
| Idaho | $321 | $1,450 | 91 | 1,224 | -12.0% |
| Vermont | $317 | $1,631 | 18 | 301 | -13.0% |
| New Mexico | $308 | $1,908 | 66 | 719 | -15.5% |
| Louisiana | $307 | $2,337 | 165 | 1,741 | -15.7% |
| Arkansas | $305 | $1,841 | 118 | 1,481 | -16.5% |
| Kentucky | $295 | $2,028 | 148 | 1,380 | -19.0% |
| North Dakota | $283 | $1,831 | 21 | 500 | -22.4% |
| Puerto Rico | $280 | $421 | 6 | 38 | -23.2% |
| Oklahoma | $271 | $1,314 | 140 | 1,616 | -25.7% |
| West Virginia | $258 | $1,425 | 59 | 363 | -29.2% |
| South Dakota | $213 | $1,577 | 44 | 660 | -41.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber
🏥 See Medicare hospital data on OpenMedicare