26480

Transfer of tendon to back of hand

Medicare pricing data for 3,455 providers across 50 states

🤖AI Overview

This procedure has a 6.2x markup — hospitals charge $4,312 but Medicare allows only $690.79. Uninsured patients may face bills 6.2 times higher than what insurance negotiates. Prices vary significantly by location — from $306 in West Virginia to $950 in Wyoming. 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

Transfer of tendon to back of hand (HCPCS code 26480) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $690.79, but hospitals typically charge $4,312 — a 6.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$138.16

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $690.79, your out-of-pocket cost would be approximately $138.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$690.79
Average Hospital Charge
$4,312
Markup Ratio
6.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,311.68
Medicare Allowed$690.79
Medicare Payment$550.37

Hospitals charge 6.2x more than what Medicare allows for this procedure. Medicare actually pays $550.37 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Wyoming$950$4,7671430+37.5%
New Jersey$946$8,84184304+37.0%
California$860$4,9732551,136+24.4%
Maryland$852$5,07774529+23.4%
Hawaii$797$2,6521033+15.4%
New Mexico$793$5,3041386+14.8%
Connecticut$786$4,99259217+13.8%
Illinois$777$5,606132645+12.5%
New York$773$5,099143497+12.0%
Oregon$772$3,23165257+11.8%
Washington$765$2,862108689+10.8%
Louisiana$765$4,53339181+10.7%
New Hampshire$730$5,66224156+5.7%
Colorado$728$4,33793661+5.4%
Tennessee$728$3,97068517+5.4%
Nevada$725$7,17136114+5.0%
Michigan$722$4,21590338+4.5%
Indiana$715$4,75494504+3.6%
Mississippi$712$3,0292095+3.1%
Missouri$711$4,72146235+2.9%
Pennsylvania$709$4,062132744+2.7%
North Carolina$705$3,745106553+2.0%
Virginia$704$4,33291881+1.9%
Montana$703$2,42324219+1.7%
Florida$698$5,2642571,991+1.0%
Massachusetts$683$4,00484413-1.1%
Minnesota$682$3,84293444-1.3%
Delaware$666$4,06017136-3.6%
Georgia$665$4,51393393-3.7%
Arkansas$645$3,47528246-6.6%
Ohio$633$3,368147665-8.3%
Alabama$631$2,65546319-8.7%
Arizona$631$4,9351141,074-8.7%
Texas$623$3,8642041,230-9.9%
Wisconsin$619$5,36983423-10.4%
Iowa$590$3,04740365-14.5%
Alaska$589$6,39621214-14.7%
North Dakota$589$2,45013118-14.7%
South Carolina$582$3,04976538-15.7%
Kentucky$581$2,72736207-15.9%
Rhode Island$580$3,8131964-16.0%
Maine$577$2,2131534-16.5%
Utah$555$3,09230136-19.7%
Idaho$525$2,66523162-24.0%
Nebraska$501$3,12153373-27.5%
Kansas$496$3,71740232-28.2%
Oklahoma$449$1,63131153-35.0%
Vermont$398$2,539717-42.4%
South Dakota$332$2,95415130-51.9%
West Virginia$306$2,121932-55.6%

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

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