CPT 64721 Surgery

How Much Does Carpal tunnel surgery Cost?

Carpal tunnel surgery (CPT 64721) costs vary by location and insurance at Medicare rates. Hospital outpatient rate: $1.

Cost Comparison by Payer

How much Carpal tunnel surgery costs across different settings and payers

Hospital Outpatient
OPPS rate
$1
Surgery Center
ASC rate
$949
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$949
Ambulatory surgery center

Carpal tunnel surgery Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
US — Carrier 01112 Locality 05 $516 $773 — $1,289
US — Carrier 01112 Locality 09 $525 $787 — $1,311
US — Carrier 01112 Locality 51 $492 $738 — $1,230
US — Carrier 01112 Locality 52 $517 $775 — $1,292
US — Carrier 01112 Locality 53 $490 $736 — $1,226
US — Carrier 01112 Locality 54 $437 $656 — $1,094
US — Carrier 01112 Locality 55 $435 $652 — $1,087
US — Carrier 01112 Locality 56 $435 $652 — $1,087
US — Carrier 01112 Locality 57 $435 $652 — $1,087
US — Carrier 01112 Locality 58 $435 $652 — $1,087
US — Carrier 01112 Locality 59 $435 $652 — $1,087
US — Carrier 01112 Locality 60 $435 $652 — $1,087
US — Carrier 01112 Locality 61 $435 $652 — $1,087
US — Carrier 01112 Locality 62 $445 $668 — $1,113
US — Carrier 01112 Locality 63 $453 $680 — $1,133
US — Carrier 01112 Locality 64 $451 $677 — $1,128
US — Carrier 01112 Locality 65 $529 $794 — $1,323
US — Carrier 01112 Locality 66 $463 $694 — $1,156
US — Carrier 01112 Locality 67 $467 $701 — $1,168
US — Carrier 01112 Locality 68 $435 $652 — $1,087
US — Carrier 01112 Locality 69 $435 $652 — $1,087
US — Carrier 01112 Locality 70 $435 $652 — $1,087
US — Carrier 01112 Locality 75 $435 $652 — $1,087
US — Carrier 01182 Locality 17 $459 $689 — $1,148
US — Carrier 01182 Locality 18 $463 $694 — $1,157

How to Reduce Your Cost for Carpal tunnel surgery

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $377 to $529 depending on location. Commercial rates vary even more.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $949, compared to $1 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

Frequently Asked Questions

How much does Carpal tunnel surgery cost?

The Medicare facility rate for Carpal tunnel surgery is variable. In a hospital outpatient setting, the rate is $1. At an ambulatory surgery center, the rate is $949. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Carpal tunnel surgery cost without insurance?

Without insurance, the cost of Carpal tunnel surgery can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Carpal tunnel surgery?

Most commercial health insurance plans and Medicare cover Carpal tunnel surgery when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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