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Procedure price report · Other OR therapeutic procedures on bone

Fibula bone graft with microsurgical blood vessel hookup

CPT 20955the billing code this page is about

Transfer of a segment of the lower leg bone to another site with its blood vessels reconnected under a microscope so the graft keeps its own blood supply.

Hospitals typically charge $5,741 cash for this outpatient procedure — the median across 173 hospitals that filed a usable cash price; the average of the middle 60% is $5,751. Most fall between $3,770 and $9,104 (20th–80th percentile).

Hospitals
173
States
41
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 173 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
$2,537$4,016$5,741$8,722$12,189

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($2,537 vs $12,189).

How the prices are spread

$1,573 – $1,974: 4 hospitals$1,573$1,974 – $2,478: 2 hospitals$2,478 – $3,111: 10 hospitals$2,478$3,111 – $3,905: 16 hospitals$3,905 – $4,902: 35 hospitals$3,905$4,902 – $6,153: 29 hospitals$6,153 – $7,724: 18 hospitals$6,153$7,724 – $9,696: 18 hospitals$9,696 – $12,171: 12 hospitals$9,696$12,171 – $15,278: 13 hospitals$12,171median $5,741price bands are equal on a log scale
Hospitals per price band (157 of 173 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,573$1,9744
$1,974$2,4782
$2,478$3,11110
$3,111$3,90516
$3,905$4,90235
$4,902$6,15329
$6,153$7,72418
$7,724$9,69618
$9,696$12,17112
$12,171$15,27813

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$5,741
Cash as a multiple of Medicare0.77×

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 $5,741.

Alaska: 1 hospital 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: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $7,413 across 13 hospitalsNY$7,413Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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 $6,131 across 14 hospitalsIA$6,131Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,776 across 16 hospitalsPA$1,776New Jersey: median $5,339 across 14 hospitalsNJ$5,339Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 3 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 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: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $4,016 across 11 hospitalsOK$4,016Louisiana: 2 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: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,741. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY13$7,413+29%$6,167 – $9,058
Iowa IA14$6,131+7%$6,131 – $6,131
New Jersey NJ14$5,339−7%$4,350 – $6,839
Oklahoma OK11$4,016−30%$4,016 – $4,016
Pennsylvania PA16$1,776−69%$1,503 – $12,525
Illinois IL9not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Washington WA3not 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
Florida FL2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nebraska NE2not 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
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not 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 $5,741.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care144$5,741$3,770 – $9,058
Children’s9fewer than 20 hospitals
Critical access19fewer than 20 hospitals
Ownership
For-profit22$6,842$3,770 – $10,468
Government24$5,215$4,097 – $7,413
Non-profit126$5,741$3,770 – $9,978
System affiliation
Part of a system134$5,855$3,770 – $9,883
Independent39$5,521$2,915 – $9,104

Cash price vs list price

Median list price (chargemaster)$7,633
Median cash price$5,741
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.

How complete is this

173 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 201 hospitals that filed this code at all gave us
Usable cash price — counted173
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
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 — excluded13
Hospitals that filed this code201

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 Other OR therapeutic procedures on bone family.

Hospitals file this code under descriptions such as PR Microvascular Fibula Graft.

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, “Fibula bone graft with microsurgical blood vessel hookup (CPT 20955) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20955-fibula-bone-graft-with-microsurgical-blood-vessel-hookup