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Procedure price report · Decompression peripheral nerve

Carpal tunnel release surgery

CPT 64721the billing code this page is about

Open procedure to release the median nerve at the wrist by cutting the ligament over the carpal tunnel to relieve pressure on the nerve.

Hospitals typically charge $2,219 cash for this outpatient procedure — the median across 1,451 hospitals that filed a usable cash price; the average of the middle 60% is $2,492. Most fall between $933 and $5,255 (20th–80th percentile).

Hospitals
1,451
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 1,451 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
$684$1,071$2,219$4,554$7,957

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($684 vs $7,957).

How the prices are spread

$534 – $720: 92 hospitals$534$720 – $971: 146 hospitals$971 – $1,310: 166 hospitals$971$1,310 – $1,767: 110 hospitals$1,767 – $2,384: 184 hospitals$1,767$2,384 – $3,216: 145 hospitals$3,216 – $4,339: 157 hospitals$3,216$4,339 – $5,853: 143 hospitals$5,853 – $7,896: 90 hospitals$5,853$7,896 – $10,652: 74 hospitals$7,896median $2,219price bands are equal on a log scale
Hospitals per price band (1,307 of 1,451 — the bands cover the 5th to 95th percentile)
FromToHospitals
$534$72092
$720$971146
$971$1,310166
$1,310$1,767110
$1,767$2,384184
$2,384$3,216145
$3,216$4,339157
$4,339$5,853143
$5,853$7,89690
$7,896$10,65274

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,995
Median cash price$2,219
Cash as a multiple of Medicare1.11×

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 $2,219.

Alaska: median $3,505 across 10 hospitalsAK$3,505Maine: median $712 across 11 hospitalsME$712Vermont: median $1,377 across 10 hospitalsVT$1,377New Hampshire: median $792 across 13 hospitalsNH$792Washington: median $2,408 across 44 hospitalsWA$2,408Idaho: median $2,418 across 20 hospitalsID$2,418Montana: median $921 across 14 hospitalsMT$921North Dakota: median $3,639 across 11 hospitalsND$3,639Minnesota: median $1,737 across 57 hospitalsMN$1,737Illinois: median $1,796 across 54 hospitalsIL$1,796Wisconsin: median $1,862 across 63 hospitalsWI$1,862Michigan: median $1,858 across 55 hospitalsMI$1,858New York: median $2,311 across 65 hospitalsNY$2,311Massachusetts: median $3,679 across 27 hospitalsMA$3,679Oregon: median $1,330 across 39 hospitalsOR$1,330Nevada: median $1,948 across 11 hospitalsNV$1,948Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,484 across 11 hospitalsSD$1,484Iowa: median $1,144 across 66 hospitalsIA$1,144Indiana: median $1,735 across 35 hospitalsIN$1,735Ohio: median $6,319 across 71 hospitalsOH$6,319Pennsylvania: median $2,307 across 50 hospitalsPA$2,307New Jersey: median $2,527 across 35 hospitalsNJ$2,527Connecticut: 6 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 $3,609 across 97 hospitalsCA$3,609Utah: median $2,533 across 10 hospitalsUT$2,533Colorado: median $1,953 across 26 hospitalsCO$1,953Nebraska: median $1,830 across 40 hospitalsNE$1,830Missouri: median $3,037 across 49 hospitalsMO$3,037Kentucky: median $950 across 19 hospitalsKY$950West Virginia: median $2,129 across 26 hospitalsWV$2,129Virginia: median $5,719 across 21 hospitalsVA$5,719Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,396 across 14 hospitalsAZ$2,396New Mexico: median $2,321 across 11 hospitalsNM$2,321Kansas: median $1,202 across 45 hospitalsKS$1,202Arkansas: median $1,948 across 21 hospitalsAR$1,948Tennessee: median $2,856 across 26 hospitalsTN$2,856North Carolina: median $3,504 across 32 hospitalsNC$3,504South Carolina: median $2,874 across 11 hospitalsSC$2,874Oklahoma: median $1,236 across 23 hospitalsOK$1,236Louisiana: median $1,935 across 23 hospitalsLA$1,935Mississippi: median $2,118 across 22 hospitalsMS$2,118Alabama: median $1,742 across 16 hospitalsAL$1,742Georgia: median $1,949 across 21 hospitalsGA$1,949Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,241 across 64 hospitalsTX$3,241Florida: median $4,074 across 33 hospitalsFL$4,074
Cash price by state, most expensive first. National median $2,219. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH71$6,319+185%$1,983 – $8,758
Virginia VA21$5,719+158%$1,121 – $7,504
Florida FL33$4,074+84%$2,874 – $20,663
Massachusetts MA27$3,679+66%$2,028 – $5,099
North Dakota ND11$3,639+64%$1,226 – $3,968
California CA97$3,609+63%$1,089 – $5,309
Alaska AK10$3,505+58%$2,897 – $5,717
North Carolina NC32$3,504+58%$866 – $4,255
Texas TX64$3,241+46%$1,952 – $5,108
Missouri MO49$3,037+37%$821 – $6,840
South Carolina SC11$2,874+30%$873 – $6,628
Tennessee TN26$2,856+29%$837 – $4,519
Utah UT10$2,533+14%$863 – $2,880
New Jersey NJ35$2,527+14%$2,161 – $5,110
Idaho ID20$2,418+9%$810 – $5,383
Washington WA44$2,408+9%$970 – $3,868
Arizona AZ14$2,396+8%$682 – $10,266
New Mexico NM11$2,321+5%$1,191 – $14,368
New York NY65$2,311+4%$889 – $4,595
Pennsylvania PA50$2,307+4%$675 – $5,185
West Virginia WV26$2,129−4%$1,141 – $3,192
Mississippi MS22$2,118−5%$1,025 – $6,666
Colorado CO26$1,953−12%$946 – $5,239
Georgia GA21$1,949−12%$1,274 – $5,472
Arkansas AR21$1,948−12%$962 – $3,395
Nevada NV11$1,948−12%$1,609 – $3,024
Louisiana LA23$1,935−13%$922 – $3,583
Wisconsin WI63$1,862−16%$1,212 – $3,442
Michigan MI55$1,858−16%$832 – $7,256
Nebraska NE40$1,830−18%$946 – $3,226
Illinois IL54$1,796−19%$793 – $6,775
Alabama AL16$1,742−21%$1,215 – $7,784
Minnesota MN57$1,737−22%$1,016 – $2,862
Indiana IN35$1,735−22%$677 – $4,969
South Dakota SD11$1,484−33%$1,197 – $2,678
Vermont VT10$1,377−38%$417 – $1,793
Oregon OR39$1,330−40%$834 – $4,899
Oklahoma OK23$1,236−44%$733 – $3,981
Kansas KS45$1,202−46%$624 – $2,194
Iowa IA66$1,144−48%$900 – $2,682
Kentucky KY19$950−57%$668 – $4,611
Montana MT14$921−59%$644 – $2,013
New Hampshire NH13$792−64%$313 – $1,643
Maine ME11$712−68%$663 – $1,271
Hawaii HI9not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Rhode Island RI1not 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 $2,219.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care978$2,711$1,110 – $5,944
Children’s25$2,874$1,048 – $9,157
Critical access443$1,320$785 – $3,130
Ownership
For-profit168$3,811$1,609 – $7,503
Government293$1,483$888 – $3,504
Non-profit985$2,273$922 – $5,309
System affiliation
Part of a system1,117$2,499$1,040 – $5,653
Independent334$1,402$785 – $3,290

Cash price vs list price

Median list price (chargemaster)$3,495
Median cash price$2,219
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

733 hospitals filed a usable inpatient cash price for this code. The median is $1,862 and the average of the middle 60% is $2,094; most fall between $818 and $4,170.

Cash price percentiles, inpatient, across 733 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
$605$905$1,862$3,724$5,395

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($605 vs $5,395).

Of the 811 hospitals that filed this code inpatient, 733 gave a usable cash price; 30 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 48 a list price only.

How complete is this

1,451 of the 3,956 hospitals with a price file in our corpus (37%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,585 hospitals that filed this code at all gave us
Usable cash price — counted1,451
Cash price carrying a plausibility flag — shown on the compare tool, excluded here70
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded9
A list price only, no cash figure — excluded54
Hospitals that filed this code1,585

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 Decompression peripheral nerve family.

Hospitals file this code under descriptions such as PR Revise Median N/Carpal Tunnel Surg.

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, “Carpal tunnel release surgery (CPT 64721) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64721-carpal-tunnel-release-surgery