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Procedure price report · Other OR therapeutic procedures on bone

Free bone and skin flap transfer with microsurgery

CPT 20969the billing code this page is about

Transfer of a block of bone with overlying skin from one part of the body to another, reconnecting its blood vessels under a microscope; this code is for donor sites other than the iliac crest, metatarsal, or great toe.

Hospitals typically charge $5,755 cash for this outpatient procedure — the median across 168 hospitals that filed a usable cash price; the average of the middle 60% is $6,168. Most fall between $4,293 and $9,475 (20th–80th percentile).

Hospitals
168
States
42
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 168 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
$2,863$4,383$5,755$8,986$13,470

The most expensive tenth of hospitals charges at least 4.7× what the cheapest tenth charges ($2,863 vs $13,470).

How the prices are spread

$1,744 – $2,168: 5 hospitals$1,744$2,168 – $2,695: 2 hospitals$2,695 – $3,349: 9 hospitals$2,695$3,349 – $4,163: 6 hospitals$4,163 – $5,174: 44 hospitals$4,163$5,174 – $6,431: 22 hospitals$6,431 – $7,994: 21 hospitals$6,431$7,994 – $9,936: 19 hospitals$9,936 – $12,349: 13 hospitals$9,936$12,349 – $15,349: 12 hospitals$12,349median $5,755price bands are equal on a log scale
Hospitals per price band (153 of 168 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,744$2,1685
$2,168$2,6952
$2,695$3,3499
$3,349$4,1636
$4,163$5,17444
$5,174$6,43122
$6,431$7,99421
$7,994$9,93619
$9,936$12,34913
$12,349$15,34912

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$5,755
Cash as a multiple of Medicare0.78×

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 $5,755.

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: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital 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 14 hospitalsNY$7,413Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $4,943 across 10 hospitalsOR$4,943Nevada: 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: 2 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 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 $1,972 across 16 hospitalsPA$1,972New Jersey: median $5,339 across 13 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: 2 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: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 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: 2 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 $4,468 across 11 hospitalsOK$4,468Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 6 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,755. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY14$7,413+29%$7,338 – $9,058
New Jersey NJ13$5,339−7%$4,350 – $6,311
Oregon OR10$4,943−14%$4,943 – $8,986
Oklahoma OK11$4,468−22%$4,468 – $4,468
Pennsylvania PA16$1,972−66%$1,668 – $5,318
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
Texas TX6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Florida FL4not 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
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Iowa IA2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not 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
Tennessee TN2not 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
Hawaii HI1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Virginia VA1not enough hospitals filed a usable price
Washington WA1not 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 $5,755.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care141$5,722$4,293 – $9,072
Children’s7fewer than 20 hospitals
Critical access19fewer than 20 hospitals
Ownership
For-profit19fewer than 20 hospitals
Government24$6,863$4,393 – $9,223
Non-profit124$5,339$4,293 – $9,978
System affiliation
Part of a system129$5,741$4,293 – $9,451
Independent39$5,825$4,125 – $9,986

Cash price vs list price

Median list price (chargemaster)$8,233
Median cash price$5,755
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

168 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 186 hospitals that filed this code at all gave us
Usable cash price — counted168
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
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 — excluded4
Hospitals that filed this code186

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 Free Ostq Flap W/Mvasc Anast Metar/Great Toe.

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, “Free bone and skin flap transfer with microsurgery (CPT 20969) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20969-free-bone-and-skin-flap-transfer-with-microsurgery