Procedure price report · Other therapeutic procedures on muscles and tendons

Repair of a small muscle inside the hand, one muscle

CPT code CPT 26591the billing code this page is about

Surgical repair of one of the small muscles within the hand that move the fingers; the charge covers a single muscle, so each muscle repaired bills separately.

Hospitals typically charge $2,274 cash for this outpatient procedure — the median across 503 hospitals that filed a usable cash price; the average of the middle 60% is $2,480. Most fall between $893 and $4,942 (20th–80th percentile).

Hospitals
503
States
48
Filings dated
Mar 2023 – 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 503 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
$686$1,014$2,274$4,179$6,731

The most expensive tenth of hospitals charges at least 9.8× what the cheapest tenth charges ($686 vs $6,731).

How the prices are spread

$419 – $565: 13 hospitals$419$565 – $762: 32 hospitals$762 – $1,028: 59 hospitals$762$1,028 – $1,387: 45 hospitals$1,387 – $1,872: 33 hospitals$1,387$1,872 – $2,526: 86 hospitals$2,526 – $3,408: 36 hospitals$2,526$3,408 – $4,598: 65 hospitals$4,598 – $6,205: 37 hospitals$4,598$6,205 – $8,372: 51 hospitals$6,205median $2,274price bands are equal on a log scale
Hospitals per price band (457 of 503 — the bands cover the 5th to 95th percentile)
FromToHospitals
$419$56513
$565$76232
$762$1,02859
$1,028$1,38745
$1,387$1,87233
$1,872$2,52686
$2,526$3,40836
$3,408$4,59865
$4,598$6,20537
$6,205$8,37251

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,274
Cash as a multiple of Medicare0.68×

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 $2,274.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 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: median $2,060 across 17 hospitalsWA$2,060Idaho: 8 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 $2,358 across 14 hospitalsMN$2,358Illinois: median $1,088 across 21 hospitalsIL$1,088Wisconsin: median $2,500 across 18 hospitalsWI$2,500Michigan: median $871 across 26 hospitalsMI$871New York: median $3,840 across 31 hospitalsNY$3,840Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $6,719 across 22 hospitalsOR$6,719Nevada: 4 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 $1,114 across 19 hospitalsIA$1,114Indiana: median $1,503 across 19 hospitalsIN$1,503Ohio: median $1,488 across 15 hospitalsOH$1,488Pennsylvania: median $2,382 across 20 hospitalsPA$2,382New Jersey: median $3,986 across 25 hospitalsNJ$3,986Connecticut: 2 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 $2,274 across 53 hospitalsCA$2,274Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,228 across 13 hospitalsVA$2,228Maryland: 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: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 8 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 $1,014 across 13 hospitalsOK$1,014Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,098 across 41 hospitalsTX$3,098Florida: median $10,221 across 10 hospitalsFL$10,221
Cash price by state, most expensive first. National median $2,274. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL10$10,221+350%$3,257 – $18,587
Oregon OR22$6,719+196%$901 – $7,382
New Jersey NJ25$3,986+75%$3,591 – $5,419
New York NY31$3,840+69%$2,519 – $4,084
Texas TX41$3,098+36%$2,510 – $3,098
Wisconsin WI18$2,500+10%$2,142 – $2,500
Pennsylvania PA20$2,382+5%$298 – $5,038
Minnesota MN14$2,358+4%$1,432 – $2,358
California CA53$2,2740%$2,010 – $4,894
Virginia VA13$2,228−2%$315 – $4,942
Washington WA17$2,060−9%$901 – $6,487
Indiana IN19$1,503−34%$781 – $2,031
Ohio OH15$1,488−35%$967 – $5,051
Iowa IA19$1,114−51%$1,109 – $1,399
Illinois IL21$1,088−52%$337 – $7,495
Oklahoma OK13$1,014−55%$1,014 – $6,612
Michigan MI26$871−62%$640 – $990
Missouri MO9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
South Carolina SC4not 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
Hawaii HI3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not 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 $2,274.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care400$2,500$901 – $4,995
Children’s10fewer than 20 hospitals
Critical access92$1,976$781 – $3,795
Ownership
For-profit46$3,075$803 – $5,960
Government78$1,819$850 – $6,588
Non-profit378$2,274$901 – $4,894
System affiliation
Part of a system415$2,400$967 – $5,051
Independent88$1,439$735 – $4,042

Cash price vs list price

Median list price (chargemaster)$3,714
Median cash price$2,274
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

304 hospitals filed a usable inpatient cash price for this code. The median is $2,274 and the average of the middle 60% is $2,413; most fall between $888 and $5,317.

Cash price percentiles, inpatient, across 304 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
$628$1,014$2,274$4,313$6,889

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($628 vs $6,889).

Of the 329 hospitals that filed this code inpatient, 304 gave a usable cash price; 18 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

503 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 556 hospitals that filed this code at all gave us
Usable cash price — counted503
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded15
Hospitals that filed this code556

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 Repair Intrinsic Muscles Hand Each Muscle.

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, “Repair of a small muscle inside the hand, one muscle (CPT 26591) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-26591-repair-of-a-small-muscle-inside-the-hand-one-muscle