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Procedure price report · Other OR therapeutic procedures on musculoskeletal system

Computer-guided navigation during bone or joint surgery

CPT 20985the billing code this page is about

Add-on service in which a computer navigation system without preoperative imaging guides instrument placement during a bone or joint operation; billed in addition to the main surgery.

Hospitals typically charge $650 cash for this outpatient procedure — the median across 545 hospitals that filed a usable cash price; the average of the middle 60% is $2,562. Most fall between $249 and $11,441 (20th–80th percentile).

Hospitals
545
States
50
Filings dated
Jun 2024 – 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 545 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
$155$283$650$8,070$26,255

The most expensive tenth of hospitals charges at least 170× what the cheapest tenth charges ($155 vs $26,255).

How the prices are spread

$126 – $224: 65 hospitals$126$224 – $399: 117 hospitals$399 – $711: 73 hospitals$399$711 – $1,267: 46 hospitals$1,267 – $2,257: 11 hospitals$1,267$2,257 – $4,023: 16 hospitals$4,023 – $7,168: 49 hospitals$4,023$7,168 – $12,775: 46 hospitals$12,775 – $22,765: 28 hospitals$12,775$22,765 – $40,568: 40 hospitals$22,765median $650price bands are equal on a log scale
Hospitals per price band (491 of 545 — the bands cover the 5th to 95th percentile)
FromToHospitals
$126$22465
$224$399117
$399$71173
$711$1,26746
$1,267$2,25711
$2,257$4,02316
$4,023$7,16849
$7,168$12,77546
$12,775$22,76528
$22,765$40,56840

By state

The median cash price in each state, against the national median of $650.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $293 across 10 hospitalsWA$293Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $629 across 22 hospitalsMN$629Illinois: median $267 across 21 hospitalsIL$267Wisconsin: median $785 across 41 hospitalsWI$785Michigan: median $233 across 23 hospitalsMI$233New York: median $794 across 34 hospitalsNY$794Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $351 across 17 hospitalsOR$351Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $362 across 26 hospitalsIA$362Indiana: median $4,834 across 24 hospitalsIN$4,834Ohio: median $4,376 across 20 hospitalsOH$4,376Pennsylvania: median $97 across 13 hospitalsPA$97New Jersey: median $5,729 across 21 hospitalsNJ$5,729Connecticut: 5 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 $11,441 across 36 hospitalsCA$11,441Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $221 across 10 hospitalsCO$221Nebraska: median $294 across 10 hospitalsNE$294Missouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $3,690 across 14 hospitalsWV$3,690Virginia: median $32,462 across 15 hospitalsVA$32,462Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $262 across 10 hospitalsTN$262North Carolina: 3 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 $304 across 11 hospitalsOK$304Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $271 across 11 hospitalsAL$271Georgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,070 across 30 hospitalsTX$8,070Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $650. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA15$32,462+4894%$95 – $54,270
California CA36$11,441+1660%$394 – $11,441
Texas TX30$8,070+1141%$554 – $10,087
New Jersey NJ21$5,729+781%$4,350 – $17,414
Indiana IN24$4,834+644%$239 – $18,853
Ohio OH20$4,376+573%$308 – $46,508
West Virginia WV14$3,690+468%$309 – $7,292
New York NY34$794+22%$290 – $4,595
Wisconsin WI41$785+21%$182 – $921
Minnesota MN22$629−3%$307 – $633
Iowa IA26$362−44%$284 – $469
Oregon OR17$351−46%$263 – $471
Oklahoma OK11$304−53%$304 – $304
Nebraska NE10$294−55%$233 – $2,372
Washington WA10$293−55%$255 – $2,539
Alabama AL11$271−58%$205 – $25,308
Illinois IL21$267−59%$168 – $470
Tennessee TN10$262−60%$141 – $14,047
Michigan MI23$233−64%$186 – $31,586
Colorado CO10$221−66%$125 – $1,801
Pennsylvania PA13$97−85%$89 – $735
Arkansas AR9not enough hospitals filed a usable price
Florida FL9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not 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 $650.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care404$1,156$258 – $17,414
Children’s8fewer than 20 hospitals
Critical access132$416$221 – $858
Ownership
For-profit63$5,224$315 – $25,342
Government88$368$233 – $2,317
Non-profit393$735$247 – $11,441
System affiliation
Part of a system421$785$247 – $11,441
Independent124$390$254 – $3,965

Cash price vs list price

Median list price (chargemaster)$719
Median cash price$650
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

267 hospitals filed a usable inpatient cash price for this code. The median is $387 and the average of the middle 60% is $488; most fall between $210 and $1,785.

Cash price percentiles, inpatient, across 267 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
$142$237$387$794$10,087

The most expensive tenth of hospitals charges at least 71× what the cheapest tenth charges ($142 vs $10,087).

Of the 306 hospitals that filed this code inpatient, 267 gave a usable cash price; 17 carried a plausibility flag, 3 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

545 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 652 hospitals that filed this code at all gave us
Usable cash price — counted545
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded10
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded45
Hospitals that filed this code652

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Other OR therapeutic procedures on musculoskeletal system family.

Hospitals file this code under descriptions such as Cptr-Asst Surgical Navigation Image-Less.

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, “Computer-guided navigation during bone or joint surgery (CPT 20985) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20985-computer-guided-navigation-during-bone-or-joint-surgery