Procedure price report · Other non-OR therapeutic procedures on musculoskeletal system

Unlisted procedure on bones, muscles or joints

CPT code CPT 20999the billing code this page is about

Used when a general musculoskeletal procedure has no specific billing code of its own; the surgeon's report describes what was done.

Hospitals typically charge $1,263 cash for this outpatient procedure — the median across 879 hospitals that filed a usable cash price; the average of the middle 60% is $1,705. Most fall between $308 and $4,585 (20th–80th percentile).

Hospitals
879
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 879 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
$232$361$1,263$4,050$9,753

The most expensive tenth of hospitals charges at least 42× what the cheapest tenth charges ($232 vs $9,753).

How the prices are spread

$157 – $257: 82 hospitals$157$257 – $421: 127 hospitals$421 – $691: 102 hospitals$421$691 – $1,134: 75 hospitals$1,134 – $1,861: 85 hospitals$1,134$1,861 – $3,052: 82 hospitals$3,052 – $5,007: 123 hospitals$3,052$5,007 – $8,214: 47 hospitals$8,214 – $13,475: 47 hospitals$8,214$13,475 – $22,105: 23 hospitals$13,475median $1,263price bands are equal on a log scale
Hospitals per price band (793 of 879 — the bands cover the 5th to 95th percentile)
FromToHospitals
$157$25782
$257$421127
$421$691102
$691$1,13475
$1,134$1,86185
$1,861$3,05282
$3,052$5,007123
$5,007$8,21447
$8,214$13,47547
$13,475$22,10523

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$1,263
Cash as a multiple of Medicare5.0×

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 $1,263.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $956 across 20 hospitalsWA$956Idaho: median $3,639 across 10 hospitalsID$3,639Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $663 across 18 hospitalsMN$663Illinois: median $3,718 across 47 hospitalsIL$3,718Wisconsin: median $770 across 28 hospitalsWI$770Michigan: median $4,014 across 36 hospitalsMI$4,014New York: median $311 across 40 hospitalsNY$311Massachusetts: median $6,409 across 21 hospitalsMA$6,409Oregon: median $3,749 across 25 hospitalsOR$3,749Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $171 across 23 hospitalsIA$171Indiana: median $1,049 across 23 hospitalsIN$1,049Ohio: median $1,291 across 46 hospitalsOH$1,291Pennsylvania: median $1,517 across 41 hospitalsPA$1,517New Jersey: median $4,350 across 32 hospitalsNJ$4,350Connecticut: median $539 across 10 hospitalsCT$539Rhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $594 across 70 hospitalsCA$594Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $486 across 21 hospitalsCO$486Nebraska: median $424 across 13 hospitalsNE$424Missouri: median $2,137 across 28 hospitalsMO$2,137Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $303 across 15 hospitalsWV$303Virginia: median $3,479 across 24 hospitalsVA$3,479Maryland: 3 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: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $568 across 23 hospitalsNC$568South Carolina: median $8,379 across 17 hospitalsSC$8,379Oklahoma: median $2,614 across 12 hospitalsOK$2,614Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $8,843 across 11 hospitalsAL$8,843Georgia: median $2,141 across 28 hospitalsGA$2,141Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $387 across 60 hospitalsTX$387Florida: median $2,761 across 35 hospitalsFL$2,761
Cash price by state, most expensive first. National median $1,263. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Alabama AL11$8,843+600%$1,428 – $28,180
South Carolina SC17$8,379+563%$4,155 – $8,379
Massachusetts MA21$6,409+407%$738 – $7,424
New Jersey NJ32$4,350+244%$266 – $5,855
Michigan MI36$4,014+218%$397 – $24,617
Oregon OR25$3,749+197%$253 – $6,800
Illinois IL47$3,718+194%$684 – $4,585
Idaho ID10$3,639+188%$1,900 – $4,347
Virginia VA24$3,479+175%$421 – $5,500
Florida FL35$2,761+119%$703 – $13,877
Oklahoma OK12$2,614+107%$489 – $2,614
Georgia GA28$2,141+70%$246 – $4,218
Missouri MO28$2,137+69%$245 – $14,832
Pennsylvania PA41$1,517+20%$255 – $27,700
Ohio OH46$1,291+2%$846 – $3,421
Indiana IN23$1,049−17%$441 – $1,654
Washington WA20$956−24%$278 – $3,693
Wisconsin WI28$770−39%$90 – $1,829
Minnesota MN18$663−47%$564 – $1,263
California CA70$594−53%$464 – $1,643
North Carolina NC23$568−55%$568 – $2,026
Connecticut CT10$539−57%$381 – $9,749
Colorado CO21$486−62%$324 – $3,056
Nebraska NE13$424−66%$171 – $3,145
Texas TX60$387−69%$315 – $3,622
New York NY40$311−75%$284 – $1,562
West Virginia WV15$303−76%$278 – $1,947
Iowa IA23$171−86%$166 – $2,044
Kansas KS9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not 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 $1,263.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care736$1,447$315 – $5,051
Children’s24$3,264$727 – $8,838
Critical access115$846$271 – $2,614
Ownership
For-profit91$2,884$464 – $8,555
Government130$568$241 – $3,522
Non-profit654$1,184$315 – $4,585
System affiliation
Part of a system739$1,492$311 – $4,874
Independent140$865$274 – $3,150

Cash price vs list price

Median list price (chargemaster)$2,519
Median cash price$1,263
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

600 hospitals filed a usable inpatient cash price for this code. The median is $1,056 and the average of the middle 60% is $1,530; most fall between $315 and $4,218.

Cash price percentiles, inpatient, across 600 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
$171$378$1,056$3,622$8,379

The most expensive tenth of hospitals charges at least 49× what the cheapest tenth charges ($171 vs $8,379).

Of the 665 hospitals that filed this code inpatient, 600 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 36 a list price only.

How complete is this

879 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 978 hospitals that filed this code at all gave us
Usable cash price — counted879
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded46
Hospitals that filed this code978

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.

Hospitals file this code under descriptions such as PR Prodense Inj Pelvic Bone C/T 22513.

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, “Unlisted procedure on bones, muscles or joints (CPT 20999) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20999-unlisted-procedure-on-bones-muscles-or-joints