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Procedure price report · Traction, splints, and other wound care

Removing skull tongs or a halo placed by another provider

CPT 20665the billing code this page is about

Removal only of cranial tongs or a halo device that was originally applied by a different clinician.

Hospitals typically charge $396 cash for this outpatient procedure — the median across 433 hospitals that filed a usable cash price; the average of the middle 60% is $421. Most fall between $169 and $924 (20th–80th percentile).

Hospitals
433
States
47
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 433 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
$105$183$396$736$1,406

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($105 vs $1,406).

How the prices are spread

$85 – $115: 28 hospitals$85$115 – $157: 18 hospitals$157 – $214: 62 hospitals$157$214 – $292: 37 hospitals$292 – $398: 53 hospitals$292$398 – $543: 65 hospitals$543 – $741: 41 hospitals$543$741 – $1,010: 26 hospitals$1,010 – $1,377: 35 hospitals$1,010$1,377 – $1,878: 26 hospitals$1,377median $396price bands are equal on a log scale
Hospitals per price band (391 of 433 — the bands cover the 5th to 95th percentile)
FromToHospitals
$85$11528
$115$15718
$157$21462
$214$29237
$292$39853
$398$54365
$543$74141
$741$1,01026
$1,010$1,37735
$1,377$1,87826

Against Medicare

Medicare pays (OPPS 2026, national rate)$456
Median cash price$396
Cash as a multiple of Medicare0.87×

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 $396.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $661 across 17 hospitalsWA$661Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $286 across 21 hospitalsIL$286Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $571 across 16 hospitalsMI$571New York: median $472 across 25 hospitalsNY$472Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $724 across 22 hospitalsOR$724Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $280 across 15 hospitalsIA$280Indiana: no hospital in the corpus filed a usable priceINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $277 across 19 hospitalsPA$277New Jersey: median $578 across 25 hospitalsNJ$578Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $297 across 62 hospitalsCA$297Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital 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: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $161 across 19 hospitalsOK$161Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,053 across 24 hospitalsGA$1,053Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $347 across 33 hospitalsTX$347Florida: median $1,406 across 18 hospitalsFL$1,406
Cash price by state, most expensive first. National median $396. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL18$1,406+255%$354 – $1,406
Georgia GA24$1,053+166%$401 – $1,436
Oregon OR22$724+83%$183 – $1,125
Washington WA17$661+67%$501 – $894
New Jersey NJ25$578+46%$436 – $5,339
Michigan MI16$571+44%$169 – $614
New York NY25$472+19%$472 – $830
Texas TX33$347−12%$197 – $1,198
California CA62$297−25%$182 – $523
Illinois IL21$286−28%$110 – $606
Iowa IA15$280−29%$280 – $280
Pennsylvania PA19$277−30%$61 – $675
Oklahoma OK19$161−59%$103 – $348
Ohio OH9not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Utah UT1not 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 $396.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care377$387$165 – $897
Children’s15fewer than 20 hospitals
Critical access41$464$218 – $830
Ownership
For-profit33$197$83 – $1,249
Government47$404$169 – $736
Non-profit353$396$182 – $917
System affiliation
Part of a system376$401$182 – $937
Independent57$297$135 – $897

Cash price vs list price

Median list price (chargemaster)$530
Median cash price$396
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

311 hospitals filed a usable inpatient cash price for this code. The median is $347 and the average of the middle 60% is $419; most fall between $175 and $937.

Cash price percentiles, inpatient, across 311 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
$115$182$347$771$1,125

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($115 vs $1,125).

Of the 336 hospitals that filed this code inpatient, 311 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

433 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 465 hospitals that filed this code at all gave us
Usable cash price — counted433
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded11
Hospitals that filed this code465

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Traction, splints, and other wound care family.

Hospitals file this code under descriptions such as Removal Tongs/Halo Applied by Another Individual.

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, “Removing skull tongs or a halo placed by another provider (CPT 20665) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20665-removing-skull-tongs-or-a-halo-placed-by-another-provider