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Procedure price report · Other therapeutic procedures on muscles and tendons

Rebuilding a finger tendon pulley using local tissue

CPT 26500the billing code this page is about

Surgery to rebuild the fibrous sheath that holds a finger flexor tendon against the bone, using nearby tissue; billed once for each pulley rebuilt.

Hospitals typically charge $2,163 cash for this outpatient procedure — the median across 354 hospitals that filed a usable cash price; the average of the middle 60% is $3,023. Most fall between $1,130 and $7,807 (20th–80th percentile).

Hospitals
354
States
44
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 354 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
$774$1,267$2,163$5,887$9,384

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($774 vs $9,384).

How the prices are spread

$571 – $790: 24 hospitals$571$790 – $1,092: 29 hospitals$1,092 – $1,509: 56 hospitals$1,092$1,509 – $2,086: 49 hospitals$2,086 – $2,884: 14 hospitals$2,086$2,884 – $3,987: 35 hospitals$3,987 – $5,512: 35 hospitals$3,987$5,512 – $7,621: 24 hospitals$7,621 – $10,535: 47 hospitals$7,621$10,535 – $14,565: 9 hospitals$10,535median $2,163price bands are equal on a log scale
Hospitals per price band (322 of 354 — the bands cover the 5th to 95th percentile)
FromToHospitals
$571$79024
$790$1,09229
$1,092$1,50956
$1,509$2,08649
$2,086$2,88414
$2,884$3,98735
$3,987$5,51235
$5,512$7,62124
$7,621$10,53547
$10,535$14,5659

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,163
Cash as a multiple of Medicare0.29×

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 $2,163.

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: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 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: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,275 across 13 hospitalsIL$1,275Wisconsin: median $2,930 across 23 hospitalsWI$2,930Michigan: median $1,307 across 26 hospitalsMI$1,307New York: median $7,413 across 29 hospitalsNY$7,413Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $1,562 across 16 hospitalsIA$1,562Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,594 across 13 hospitalsOH$1,594Pennsylvania: median $964 across 19 hospitalsPA$964New Jersey: median $6,311 across 24 hospitalsNJ$6,311Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,023 across 31 hospitalsCA$5,023Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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 $1,387 across 14 hospitalsOK$1,387Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 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 $3,215 across 23 hospitalsTX$3,215Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,163. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY29$7,413+243%$1,035 – $8,454
New Jersey NJ24$6,311+192%$4,881 – $7,914
California CA31$5,023+132%$2,025 – $5,023
Texas TX23$3,215+49%$2,102 – $5,887
Wisconsin WI23$2,930+35%$1,883 – $2,930
Ohio OH13$1,594−26%$1,028 – $3,038
Iowa IA16$1,562−28%$1,562 – $1,562
Oklahoma OK14$1,387−36%$1,387 – $8,004
Michigan MI26$1,307−40%$1,144 – $2,930
Illinois IL13$1,275−41%$774 – $2,163
Pennsylvania PA19$964−55%$421 – $12,077
Idaho ID9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
North Dakota ND2not 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
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
North Carolina NC1not 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 $2,163.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care284$2,869$1,144 – $7,914
Children’s9fewer than 20 hospitals
Critical access61$1,883$1,144 – $3,136
Ownership
For-profit38$2,495$823 – $11,775
Government52$2,069$1,230 – $8,454
Non-profit264$2,102$1,106 – $6,839
System affiliation
Part of a system288$2,870$1,144 – $7,907
Independent66$1,986$1,103 – $7,171

Cash price vs list price

Median list price (chargemaster)$2,462
Median cash price$2,163
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.

The same procedure, inpatient

215 hospitals filed a usable inpatient cash price for this code. The median is $1,631 and the average of the middle 60% is $2,336; most fall between $1,017 and $5,023.

Cash price percentiles, inpatient, across 215 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
$708$1,103$1,631$5,023$8,241

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($708 vs $8,241).

Of the 236 hospitals that filed this code inpatient, 215 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

354 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 389 hospitals that filed this code at all gave us
Usable cash price — counted354
Cash price carrying a plausibility flag — shown on the compare tool, excluded here29
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 — excluded5
Hospitals that filed this code389

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.

Related procedures

Part of the Other therapeutic procedures on muscles and tendons family.

Hospitals file this code under descriptions such as Rcnstj Tendon Pulley Each W/Local Tissues Spx.

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, “Rebuilding a finger tendon pulley using local tissue (CPT 26500) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-26500-rebuilding-a-finger-tendon-pulley-using-local-tissue