26160

Removal of growth of tendon finger or hand

Medicare pricing data for 5,891 providers across 51 states

🤖AI Overview

This procedure has a 6.8x markup — hospitals charge $2,828 but Medicare allows only $415.30. Uninsured patients may face bills 6.8 times higher than what insurance negotiates. Prices vary significantly by location — from $265 in West Virginia to $600 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

Removal of growth of tendon finger or hand (HCPCS code 26160) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $415.30, but hospitals typically charge $2,828 — a 6.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$83.06

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $415.30, your out-of-pocket cost would be approximately $83.06. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$415.30
Average Hospital Charge
$2,828
Markup Ratio
6.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,828.19
Medicare Allowed$415.30
Medicare Payment$326.09

Hospitals charge 6.8x more than what Medicare allows for this procedure. Medicare actually pays $326.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$600$6,1172896+44.6%
Oregon$525$2,23288234+26.3%
Hawaii$513$1,6871637+23.6%
California$484$3,7024701,830+16.6%
Connecticut$474$3,31987365+14.2%
Utah$467$2,25763252+12.5%
Maryland$461$2,829130650+11.0%
New Jersey$451$5,355153649+8.6%
Minnesota$451$2,410149480+8.5%
Illinois$449$3,651227963+8.2%
Wyoming$448$2,4242875+7.8%
Colorado$446$3,972129626+7.4%
Washington$444$1,811151836+7.0%
Arizona$437$3,021136679+5.3%
New Hampshire$431$3,20839219+3.9%
Florida$426$2,9903541,790+2.7%
Virginia$426$3,173132683+2.5%
Vermont$426$1,810735+2.5%
Iowa$419$2,36067309+0.9%
Nevada$416$3,50444208+0.2%
New York$416$3,611256927+0.2%
North Carolina$409$2,261196786-1.6%
South Carolina$407$2,017108557-1.9%
New Mexico$405$2,31534112-2.4%
Georgia$405$3,509175691-2.5%
Maine$402$1,4492583-3.1%
Nebraska$401$2,54551247-3.5%
District of Columbia$401$2,021521-3.5%
Montana$399$1,75631154-4.0%
Mississippi$395$2,48958324-4.9%
Alabama$395$1,948102437-5.0%
Tennessee$393$2,486149701-5.4%
Wisconsin$392$3,549132439-5.6%
Michigan$392$1,917190618-5.7%
Pennsylvania$387$2,3002641,058-6.8%
Missouri$387$2,592137502-6.8%
Indiana$387$3,140134664-6.9%
Idaho$381$1,50847214-8.2%
Ohio$380$2,104229806-8.5%
Texas$378$2,7903971,442-9.0%
Massachusetts$376$2,178136662-9.5%
Kansas$370$2,62872277-11.0%
Delaware$366$2,59717101-11.9%
Arkansas$359$1,80663253-13.5%
Rhode Island$356$2,4562264-14.3%
Louisiana$354$2,45590362-14.8%
Oklahoma$351$1,46387299-15.5%
Kentucky$304$2,03868292-26.8%
North Dakota$290$1,9201676-30.2%
South Dakota$286$1,45132140-31.1%
West Virginia$265$1,1252446-36.3%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber