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Procedure price report · Other therapeutic procedures on muscles and tendons

Removal of a forearm or wrist tendon, each tendon

CPT 25109the billing code this page is about

Surgical removal of a diseased or damaged flexor or extensor tendon in the forearm or wrist; billed once for each tendon treated.

Hospitals typically charge $2,118 cash for this outpatient procedure — the median across 350 hospitals that filed a usable cash price; the average of the middle 60% is $2,392. Most fall between $925 and $4,599 (20th–80th percentile).

Hospitals
350
States
44
Filings dated
Mar 2023 – 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 350 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
$656$1,035$2,118$4,233$6,496

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($656 vs $6,496).

How the prices are spread

$438 – $577: 13 hospitals$438$577 – $760: 10 hospitals$760 – $1,001: 41 hospitals$760$1,001 – $1,318: 39 hospitals$1,318 – $1,736: 32 hospitals$1,318$1,736 – $2,286: 29 hospitals$2,286 – $3,010: 29 hospitals$2,286$3,010 – $3,965: 49 hospitals$3,965 – $5,222: 34 hospitals$3,965$5,222 – $6,877: 42 hospitals$5,222median $2,118price bands are equal on a log scale
Hospitals per price band (318 of 350 — the bands cover the 5th to 95th percentile)
FromToHospitals
$438$57713
$577$76010
$760$1,00141
$1,001$1,31839
$1,318$1,73632
$1,736$2,28629
$2,286$3,01029
$3,010$3,96549
$3,965$5,22234
$5,222$6,87742

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,118
Cash as a multiple of Medicare0.63×

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 $2,118.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals 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: median $3,241 across 17 hospitalsMN$3,241Illinois: median $988 across 12 hospitalsIL$988Wisconsin: median $3,086 across 15 hospitalsWI$3,086Michigan: median $1,111 across 26 hospitalsMI$1,111New York: median $3,757 across 30 hospitalsNY$3,757Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 6 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,324 across 19 hospitalsIA$1,324Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,804 across 12 hospitalsOH$1,804Pennsylvania: median $966 across 22 hospitalsPA$966New Jersey: median $4,330 across 29 hospitalsNJ$4,330Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $6,496 across 27 hospitalsCA$6,496Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 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 $890 across 13 hospitalsOK$890Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $2,778 across 22 hospitalsTX$2,778Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,118. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA27$6,496+207%$1,715 – $6,496
New Jersey NJ29$4,330+104%$3,591 – $5,339
New York NY30$3,757+77%$916 – $3,840
Minnesota MN17$3,241+53%$1,227 – $3,241
Wisconsin WI15$3,086+46%$2,118 – $4,599
Texas TX22$2,778+31%$2,653 – $2,778
Ohio OH12$1,804−15%$1,108 – $2,453
Iowa IA19$1,324−37%$1,324 – $1,711
Michigan MI26$1,111−48%$1,111 – $2,811
Illinois IL12$988−53%$410 – $1,642
Pennsylvania PA22$966−54%$353 – $5,038
Oklahoma OK13$890−58%$890 – $6,615
Florida FL9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not 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 $2,118.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care292$2,580$925 – $4,718
Children’s6fewer than 20 hospitals
Critical access52$1,485$934 – $3,241
Ownership
For-profit37$2,844$890 – $6,143
Government52$1,642$968 – $3,840
Non-profit261$2,118$929 – $4,599
System affiliation
Part of a system283$2,762$966 – $4,636
Independent67$1,380$878 – $3,257

Cash price vs list price

Median list price (chargemaster)$2,223
Median cash price$2,118
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

188 hospitals filed a usable inpatient cash price for this code. The median is $1,485 and the average of the middle 60% is $1,958; most fall between $890 and $6,114.

Cash price percentiles, inpatient, across 188 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
$644$925$1,485$3,647$6,496

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($644 vs $6,496).

Of the 208 hospitals that filed this code inpatient, 188 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

350 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 390 hospitals that filed this code at all gave us
Usable cash price — counted350
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded6
Hospitals that filed this code390

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 therapeutic procedures on muscles and tendons family.

Hospitals file this code under descriptions such as Exc Tendon Forearm&/Wrist Flexor/Extensor Ea.

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, “Removal of a forearm or wrist tendon, each tendon (CPT 25109) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-25109-removal-of-a-forearm-or-wrist-tendon-each-tendon