Price reports for 64721 Carpal tunnel surgery

Community member

Price charged

$1.01

Insurance paid

$1.00

You paid

$0.01

From what i can tell on the results you approach and results are faulty. Surgery is very difficult to predict unless you have medicare which are the only standard rates but differ in themselves base on wage index of area you reside in. In additional your surgery takes a team of individuals who each have their own provider number to bill from. A typical Surgery has a physician's fee, the facility's fee and most likely you anesthesiologist's fee and/or technical fees. You may have lab/ancillary fees (for preoperative testing for clearance) , DME fees or IDTF (independent diagnostic testing facility fees) from what i can tell you are only educating the public on the physician fee (Medicare) schedule from the CPT code I looked up for Carpal Tunnel 64721, 64483 common pain management procedure and 25881 a common knee scope. Thus creates the difficult of understanding cost of a procedure that only consist of one CPT code. Some procedures to fix areas may be more complicated and thus be able to charge multiple CPT codes which can double the charges for procedures. Once this happens all the other people involved in the surgery begin to be able to charge the additional cptcodes and the anesthesiologist get to add more time fee in 15 minute increments. There is no way to predict with certainty the cost of surgery. You can come close and yes it varies quite dramatically but all of this was created by insurance companies negotiating different fees schedules with different health care facilities and doctors base on volumes. To hang on to profit margins healthcare providers increase fees because some of their contracts were based on % of fees charged..........and on and on
Provider: Touro Ambulatory Surgery Center
Address: New Orleans, 3525, Prytania Street, LA
Community member

Price charged

$1,500.00

Insurance paid

$0.00

You paid

$0.00

Provider: Jackson Memorial Hospital
Address: Miami, 1611, Northwest 12th Avenue, FL
PriceCheck journalist

Price charged

$1,609.68

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.smmcnj.com/for-patients-visitors/financial-assistance/ .
Provider: St. Michael's Medical Center
Address: Newark, 111 Central Ave., NJ
PriceCheck journalist

Price charged

$1,992.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.saintclares.com/463483967_SaintClaresHealth_standardcharges.json .
Provider: St. Clare's Denville
Address: Denville, 25 Pocono Rd., NJ
PriceCheck journalist

Price charged

$2,124.50

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefioreslc.org/patients/billing-insurance-information/ .
Provider: Montefiore - St. Lukes Cornwall Hospital
Address: Newburgh, 70 Dubois St., NY
PriceCheck journalist

Price charged

$3,152.47

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Joseph Hospital
Address: Bethpage, 4295 Hempstead Tpke., NY
PriceCheck journalist

Price charged

$3,152.47

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Charles Hospital
Address: Port Jefferson, 200 Belle Terre Rd., NY
PriceCheck journalist

Price charged

$3,152.47

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Catherine of Siena Medical Center
Address: Smithtown, 50 NY-25A, NY
PriceCheck journalist

Price charged

$3,152.47

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Mercy Hospital
Address: Rockville Centre, 1000 N. Village Ave., NY
PriceCheck journalist

Price charged

$3,744.60

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Francis Hospital
Address: Roslyn, 100 Port Washington Blvd., NY
PriceCheck journalist

Price charged

$4,924.80

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Good Samaritan Hospital
Address: West Islip, 1000 Montauk Hwy., NY
Community member

Price charged

$6,266.52

Insurance paid

$5,383.09

You paid

$883.43

Insurer: Anthem Blue Cross Blue Shield
Provider: Longleaf Surgery Center
Address: New Port Richey, 3010, Starkey Boulevard, FL
PriceCheck journalist

Price charged

$6,295.56

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stonybrookmedicine.edu/patientcare/oon/charges .
Provider: Stony Brook University Hospital
Address: Stony Brook, 101 Nicolls Rd., NY
PriceCheck journalist

Price charged

$6,319.59

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.downstate.edu/patient-care/patient-family-support/insurance-billing/index.html .
Provider: University Hospital at SUNY Downstate
Address: Brooklyn, 450 Clarkson Ave., NY
PriceCheck journalist

Price charged

$7,152.95

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: NYP Hudson Hospital
Address: Cortlandt Manor, 1980 Crompond Rd., NY
PriceCheck journalist

Price charged

$7,167.11

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stjosephshealth.org/about-st-josephs/patient-and-visitor-information/itemlist/category/791-paying-for-your-care .
Provider: St. Joseph's University Medical Center
Address: Paterson, 703 Main St., NJ
PriceCheck journalist

Price charged

$8,386.51

Insurance paid

$0.00

You paid

$0.00

Price from pricing page: https://southampton.stonybrookmedicine.edu/patients-visitors/financial-services/hospital-charges .
Provider: Stony Brook Southampton Hospital
Address: Southampton, 240 Meeting House Lane, NY
Community member

Price charged

$15,000.00

Insurance paid

$0.00

You paid

$290.00

Ave cost on the high end is $6000; my insurance paid the full amount, not allowed or contracted amount; when I called to inquire payment they reportedly paid a smaller contracted amount. I asked for a new EOB; when I received it , it was the same as the original EOB. Hospitals are as complicit as insurance and pharmaceutical companies
Insurer: Anthem Blue Cross Blue Shield
Provider: Miami Valley Hospital South
Address: Centerville, 2400, Miami Valley Drive, OH
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York Presbyterian Hospital Queens
Address: Flushing, 56-45 Main St., NY
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Columbia University Irving Medical Center
Address: New York, 630 W. 168th St., NY
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Lower Manhattan Hospital
Address: New York, 170 William St., NY
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Lawrence Hospital - NYP
Address: Bronxville, 55 Palmer Ave., NY
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Lawrence Hospital - NYP
Address: Bronxville, 55 Palmer Ave., NY
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
PriceCheck journalist

Price charged

$18,820.30

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Allen Hospital
Address: New York, 5141 Broadway, NY
Community member

Price charged

$108,721.00

Insurance paid

$17,132.00

You paid

$1,658.82

I was told the surgical center was in network. They demanded over $2,000 when I arrived for surgery, with no previous notice. I objected and they reduced it by $1,000. My stay was approx. 2 hours. My insurance paid their out of network contribution, and I then received a demand for payment of $22,963.04. I wrote to my surgeon complaining as he is associated with this facility. I was assured this was a mistake and would be corrected. I received the same invoice again 6 months later, with an authorization to enable the facility to try again under my husband’s name. I refused to sign. The surgeon again told me it would “go away”. Thus far it would appear that it has.
Provider: Specialty Surgical Center
Address: Thousand Oaks, 696, Hampshire Road, CA

What Medicare pays here?

Carpal tunnel surgery
Region Price
Alabama $400.52
Alaska $549.81
Arizona $431.38
Arkansas $399.43
Anaheim/Santa Ana, CA $490.10
Los Angeles, CA $472.79
Marin/Napa/Solano, CA $490.29
Oakland/Berkeley, CA $495.07
Rest of California $451.43
San Francisco, CA $521.84
San Mateo, CA $520.47
Santa Clara, CA $517.47
Ventura, CA $480.02
Colorado $449.63
Connecticut $482.58
DC + MD/VA Suburbs $508.38
Delaware $453.89
Fort Lauderdale, FL $475.47
Miami, FL $507.08
Rest of Florida $445.92
Atlanta, GA $446.49
Rest of Georgia $423.52
Hawaii/Guam $468.43
Idaho $403.99
Chicago, IL $486.55
East St. Louis, IL $457.65
Rest of Illinois $432.96
Suburban Chicago, IL $478.10
Indiana $403.08
Iowa $401.92
Kansas $409.76
Kentucky $410.02
New Orleans, LA $446.06
Rest of Louisiana $425.31
Rest of Maine $414.26
Southern Maine $433.71
Baltimore/Surr. Cntys, MD $480.49
Rest of Maryland $456.12
Metropolitan Boston $473.04
Rest of Massachusetts $465.12
Detroit, MI $466.39
Rest of Michigan $426.11
Minnesota $423.53
Mississippi $391.55
Metropolitan Kansas City, MO $438.17
Metropolitan St Louis, MO $436.53
Rest of Missouri $412.40
Montana $466.74
Nebraska $398.83
Nevada $444.97
New Hampshire $456.10
Northern NJ $490.30
Rest of New Jersey $474.21
New Mexico $434.82
Manhattan, NY $516.67
NYC Suburbs/Long I., NY $539.67
Poughkpsie/N NYC Suburbs, NY $474.17
Queens, NY $539.49
Rest of New York $417.96
North Carolina $417.22
North Dakota $427.42
Ohio $425.19
Oklahoma $417.40
Portland, OR $450.33
Rest of Oregon $428.63
Metropolitan Philadelphia, PA $478.54
Rest of Pennsylvania $430.54
Puerto Rico $445.24
Rhode Island $460.24
South Carolina $407.75
South Dakota $421.98
Tennessee $404.26
Austin, TX $439.69
Beaumont, TX $420.81
Brazoria, TX $441.10
Dallas, TX $440.99
Fort Worth, TX $432.93
Galveston, TX $444.30
Houston, TX $448.02
Rest of Texas $422.46
Utah $433.24
Vermont $432.84
Virgin Islands $445.24
Virginia $437.48
Rest of Washington $442.99
Seattle (King Cnty), WA $479.76
West Virginia $421.94
Wisconsin $410.63
Wyoming $439.68
Bakersfield, CA $450.75
Chico, CA $448.73
El Centro, CA $449.02
Fresno, CA $448.73
Hanford-Corcoran, CA $448.91
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $481.72
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $481.72
Madera, CA $448.73
Merced, CA $448.73
Modesto, CA $448.73
Napa, CA $492.90
Oxnard-Thousand Oaks-Ventura, CA $476.79
Redding, CA $448.73
Riverside-San Bernardino-Ontario, CA $455.80
Sacramento--Roseville--Arden-Arcade, CA $454.11
Salinas, CA $455.99
San Diego-Carlsbad, CA $459.17
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $510.94
San Francisco-Oakland-Hayward (Marin Cnty), CA $502.71
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $510.94
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $510.94
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $486.50
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $517.82
San Luis Obispo-Paso Robles-Arroyo Grande, CA $451.02
Santa Cruz-Watsonville, CA $470.43
Santa Maria-Santa Barbara, CA $462.78
Santa Rosa, CA $462.27
Stockton-Lodi, CA $448.73
Vallejo-Fairfield, CA $492.90
Visalia-Porterville, CA $448.73
Yuba City, CA $448.73
Rest Of California, CA $448.73
Hawaii, GUam $463.68
Metropolitan Boston, MA $493.07