CPT 26418 Surgery - Musculoskeletal

How Much Does Repair Finger Tendon Cost?

Also known as: Repair finger tendon (CPT 26418)

Repair of an extensor tendon in the hand or wrist.

The total estimated cost of Repair Finger Tendon (CPT 26418) is $2,109 to $3,955, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $628.

Total Estimated Cost of Care

$2,109 — $3,955

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$628
Hospital Facility Fee
$1,883
Anesthesia (est.)
$126
Important: The physician fee of $628 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$628
Physician component only — CMS PFS 2026

Patient Guide: Repair Finger Tendon

What you need to know before your appointment

What to Expect

Under anesthesia, the surgeon repairs the torn extensor tendon (which straightens the finger). A splint keeps the finger straight during healing.

How Long Does It Take?

1-2 hours

Common Reasons Doctors Order This

Cut extensor tendon, mallet finger, boutonniere deformity, inability to straighten a finger

How to Prepare

Fast before surgery. The finger must be splinted straight for 6-8 weeks. Hand therapy helps restore full motion.

Procedures Commonly Done Together

These procedures are frequently performed alongside Repair finger tendon

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How to Reduce Your Cost for Repair finger tendon

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

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

4.36
Work RVU
13.58
Practice Expense RVU
0.85
Malpractice RVU
18.79
Total RVU

Payment = Total RVU (18.79) x CF ($33.40) = $628

Frequently Asked Questions

How much does Repair finger tendon cost?

The Medicare facility rate for Repair finger tendon is $628. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Repair finger tendon cost without insurance?

Without insurance, the cost of Repair finger tendon 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 Repair finger tendon?

Most commercial health insurance plans and Medicare cover Repair finger tendon 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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