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Procedure price report · Injections and aspirations of muscles, tendons, bursa, joints and soft tissue

Enzyme injection for a tight cord in the palm

CPT 20527the billing code this page is about

Injection of an enzyme medication into a thickened fibrous cord in the palm to soften it; covers the injection procedure for one treatment session.

Hospitals typically charge $322 cash for this outpatient procedure — the median across 650 hospitals that filed a usable cash price; the average of the middle 60% is $331. Most fall between $126 and $610 (20th–80th percentile).

Hospitals
650
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 650 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$88$162$322$541$919

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($88 vs $919).

How the prices are spread

$64 – $86: 26 hospitals$64$86 – $114: 53 hospitals$114 – $152: 44 hospitals$114$152 – $203: 50 hospitals$203 – $270: 70 hospitals$203$270 – $360: 114 hospitals$360 – $480: 70 hospitals$360$480 – $640: 72 hospitals$640 – $853: 39 hospitals$640$853 – $1,137: 53 hospitals$853median $322price bands are equal on a log scale
Hospitals per price band (591 of 650 — the bands cover the 5th to 95th percentile)
FromToHospitals
$64$8626
$86$11453
$114$15244
$152$20350
$203$27070
$270$360114
$360$48070
$480$64072
$640$85339
$853$1,13753

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$322
Cash as a multiple of Medicare1.03×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $322.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $297 across 12 hospitalsWA$297Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $353 across 15 hospitalsMN$353Illinois: median $127 across 17 hospitalsIL$127Wisconsin: median $322 across 46 hospitalsWI$322Michigan: median $277 across 18 hospitalsMI$277New York: median $332 across 50 hospitalsNY$332Massachusetts: median $556 across 11 hospitalsMA$556Oregon: median $189 across 18 hospitalsOR$189Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $436 across 10 hospitalsSD$436Iowa: median $208 across 20 hospitalsIA$208Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $593 across 40 hospitalsOH$593Pennsylvania: median $290 across 32 hospitalsPA$290New Jersey: median $4,627 across 28 hospitalsNJ$4,627Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $685 across 49 hospitalsCA$685Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $792 across 11 hospitalsCO$792Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $146 across 14 hospitalsMO$146Kentucky: median $101 across 12 hospitalsKY$101West Virginia: median $294 across 21 hospitalsWV$294Virginia: median $610 across 15 hospitalsVA$610Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $126 across 11 hospitalsTN$126North Carolina: median $416 across 17 hospitalsNC$416South Carolina: median $475 across 12 hospitalsSC$475Oklahoma: median $108 across 14 hospitalsOK$108Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $354 across 28 hospitalsTX$354Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $322. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ28$4,627+1337%$327 – $6,927
Colorado CO11$792+146%$199 – $792
California CA49$685+113%$419 – $1,137
Virginia VA15$610+89%$90 – $610
Ohio OH40$593+84%$311 – $883
Massachusetts MA11$556+73%$452 – $869
South Carolina SC12$475+47%$64 – $731
South Dakota SD10$436+35%$312 – $706
North Carolina NC17$416+29%$204 – $591
Texas TX28$354+10%$200 – $398
Minnesota MN15$353+10%$173 – $353
New York NY50$332+3%$110 – $383
Wisconsin WI46$3220%$227 – $460
Washington WA12$297−8%$162 – $508
West Virginia WV21$294−9%$140 – $392
Pennsylvania PA32$290−10%$43 – $418
Michigan MI18$277−14%$139 – $422
Iowa IA20$208−35%$191 – $432
Oregon OR18$189−41%$162 – $291
Missouri MO14$146−55%$118 – $398
Illinois IL17$127−61%$88 – $296
Tennessee TN11$126−61%$71 – $126
Oklahoma OK14$108−67%$108 – $602
Kentucky KY12$101−69%$88 – $306
Idaho ID9not enough hospitals filed a usable price
Indiana IN9not enough hospitals filed a usable price
Louisiana LA9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $322.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care491$349$143 – $688
Children’s7fewer than 20 hospitals
Critical access152$228$104 – $460
Ownership
For-profit35$277$88 – $593
Government109$250$118 – $416
Non-profit506$337$134 – $665
System affiliation
Part of a system528$349$127 – $665
Independent122$238$123 – $443

Cash price vs list price

Median list price (chargemaster)$419
Median cash price$322
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

407 hospitals filed a usable inpatient cash price for this code. The median is $304 and the average of the middle 60% is $338; most fall between $118 and $610.

Cash price percentiles, inpatient, across 407 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$88$153$304$547$883

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($88 vs $883).

Of the 442 hospitals that filed this code inpatient, 407 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

650 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 714 hospitals that filed this code at all gave us
Usable cash price — counted650
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded25
Hospitals that filed this code714

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Injections and aspirations of muscles, tendons, bursa, joints and soft tissue family.

Hospitals file this code under descriptions such as Injection Enzyme Palmar Fascial Cord.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Enzyme injection for a tight cord in the palm (CPT 20527) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20527-enzyme-injection-for-a-tight-cord-in-the-palm