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Carpal tunnel release: what insurers pay

Open release of the ligament pressing on the median nerve at the wrist. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 64721: Carpal Tunnel Release

1279 hospitals in 81 markets. National Medicare rate $1,995, surgery center $949.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$1,909$2,113$3,062$1,052–$4,390
Alaska (statewide)5$2,898$2,901$4,285$1,546–$11,816
Arizona (statewide)12$2,652$3,548$3,930$1,336–$6,628
Arkansas (statewide)13$1,710$1,794$1,875$1,408–$2,699
Atlanta GA6$4,175$4,175$4,579$4,175–$4,714
Austin TX13$1,651$3,275$4,836$1,651–$4,863
Boston MA14$2,635$3,114$3,556$1,468–$4,730
California (statewide)64$3,155$5,512$7,390$1,838–$11,383
Charlotte NC5$2,322$2,322$2,322$2,290–$2,322
Chicago IL9$3,014$4,038$6,703$1,627–$7,295
Cleveland OH11$2,742$3,324$3,548$1,857–$3,810
Colorado (statewide)16$3,405$4,558$4,995$1,279–$7,895
Columbus OH2———$7,024–$7,024
Connecticut (statewide)2———$3,362–$8,136
Dallas-Fort Worth TX13$4,182$4,807$4,880$3,806–$8,809
Delaware (statewide)1———$5,307–$5,307
Denver CO15$2,404$5,105$5,396$1,416–$6,170
Detroit MI17$2,090$2,428$2,452$1,106–$5,812
Florida (statewide)63$4,440$5,066$5,738$1,056–$13,250
Georgia (statewide)34$2,558$4,175$4,714$1,450–$12,890
Hawaii (statewide)6$2,696$3,514$3,656$1,925–$5,672
Houston TX18$3,601$3,711$4,052$2,771–$4,151
Idaho (statewide)17$1,867$2,512$4,293$965–$7,222
Illinois (statewide)33$2,590$3,242$4,643$1,564–$7,295
Indiana (statewide)38$2,445$4,488$6,737$1,729–$8,220
Indianapolis IN1———$8,123–$8,123
Iowa (statewide)34$1,862$2,450$3,388$985–$5,926
Kansas (statewide)27$1,645$2,133$2,978$946–$8,184
Kentucky (statewide)18$2,448$2,694$3,504$1,649–$6,734
Las Vegas NV1———$3,010–$3,010
Los Angeles CA17$3,863$5,204$5,729$3,572–$14,342
Louisiana (statewide)23$1,872$2,122$2,519$1,300–$5,215
Maine (statewide)17$8,002$8,984$9,290$2,068–$11,680
Maryland (statewide)1———$3,960–$3,960
Massachusetts (statewide)9$1,866$2,400$2,660$1,866–$3,318
Miami-Fort Lauderdale FL1———$3,646–$3,646
Michigan (statewide)28$2,138$2,218$2,370$1,092–$3,454
Minneapolis-St. Paul MN9$3,333$3,466$3,659$1,811–$4,467
Minnesota (statewide)15$3,333$5,160$6,096$1,239–$8,533
Mississippi (statewide)20$1,405$2,750$3,233$1,156–$5,387
Missouri (statewide)26$2,673$3,708$4,456$1,182–$15,386
Montana (statewide)5$4,010$4,101$4,764$1,624–$5,865
Nashville TN8$2,576$2,647$4,041$1,637–$4,134
Nebraska (statewide)14$2,426$3,376$3,968$1,070–$6,799
Nevada (statewide)2———$1,273–$3,717
New Hampshire (statewide)6$5,692$6,700$7,037$4,381–$8,744
New Jersey (statewide)23$3,126$5,162$7,516$2,134–$9,421
New Mexico (statewide)10$3,462$7,876$8,601$1,501–$12,152
New York (statewide)32$2,698$3,335$4,320$1,445–$6,842
New York City9$2,758$2,758$5,598$2,255–$8,314
North Carolina (statewide)8$3,546$5,238$5,786$1,286–$9,044
North Dakota (statewide)6$3,386$3,910$4,420$1,198–$6,540
Ohio (statewide)43$2,778$4,085$5,824$1,122–$7,577
Oklahoma (statewide)15$1,995$3,710$4,548$1,150–$7,918
Oregon (statewide)12$4,752$5,282$6,569$3,024–$9,041
Pennsylvania (statewide)43$2,560$3,976$6,046$1,416–$8,635
Philadelphia PA11$3,738$3,870$5,308$3,079–$8,155
Phoenix AZ8$2,929$3,039$3,121$2,600–$3,368
Pittsburgh PA12$2,089$2,902$4,044$1,684–$4,915
Portland OR9$6,073$6,073$8,101$6,058–$8,101
Rhode Island (statewide)3———$4,628–$8,858
Richmond VA3———$4,934–$5,051
Rio Grande Valley TX6$2,562$2,687$4,290$2,538–$4,807
Salt Lake City UT9$1,726$1,726$1,726$1,711–$1,742
San Antonio TX3———$3,088–$4,590
San Diego CA7$4,270$4,270$4,297$3,591–$4,631
San Francisco Bay Area CA6$5,083$5,400$6,002$5,046–$19,507
Seattle-Tacoma WA16$5,912$6,295$6,894$5,238–$7,768
South Carolina (statewide)19$3,206$6,492$8,628$1,413–$11,592
South Dakota (statewide)5$2,993$3,621$3,952$2,556–$10,276
St. Louis MO10$3,234$5,587$5,587$2,975–$9,434
Tampa FL6$6,291$6,291$6,291$2,969–$9,268
Tennessee (statewide)31$1,880$2,138$2,660$1,736–$4,248
Texas (statewide)81$2,524$3,727$4,807$1,651–$12,159
Utah (statewide)7$1,650$1,726$1,758$1,637–$6,849
Vermont (statewide)3———$1,985–$4,980
Virginia (statewide)21$5,051$5,992$6,618$1,905–$9,810
Washington (statewide)15$3,444$5,472$5,982$1,979–$10,090
Washington DC10$3,325$3,566$3,645$2,942–$3,645
West Virginia (statewide)9$2,865$3,262$3,523$2,168–$13,000
Wisconsin (statewide)45$4,506$5,924$6,825$1,114–$8,762

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Amberwell HiawathaKansas (statewide)$9460.5×12026-08-18
Teton Valley HospitalIdaho (statewide)$9650.5×12026-07-21
Wayne County HospitalIowa (statewide)$9850.5×12026-06-10
Cass County Memorial HospitalIowa (statewide)$9940.5×42026-06-01
Boone County HospitalIowa (statewide)$1,0040.5×22026-07-27
Hancock County Health SystemIowa (statewide)$1,0180.5×12026-06-30
Washington County Hospital And ClinicsIowa (statewide)$1,0180.5×32026-09-08
Kossuth Regional Health CenterIowa (statewide)$1,0390.6×42026-07-16
Usa Health University HospitalAlabama (statewide)$1,0520.6×12026-04-30
Baptist Medical Center JacksonvilleFlorida (statewide)$1,0560.5×22026-02-06
Baptist Medical Center - BeachesFlorida (statewide)$1,0560.5×22026-02-06
Baptist Medical Center - NassauFlorida (statewide)$1,0560.5×22026-02-06
Mainehealth Lincoln HospitalMaine (statewide)$11,6806.1×12025-09-09
Providence Alaska Medical CenterAlaska (statewide)$11,8165.5×22026-04-01
Presbyterian Santa Fe Medical CenterNew Mexico (statewide)$12,1526.0×12026-04-01
Methodist Dallas Medical CenterTexas (statewide)$12,1596.2×12026-03-20
Northeast Georgia Medical Center, IncGeorgia (statewide)$12,8906.9×12026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$12,8906.6×12026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$12,8906.6×12026-04-01
Logan Regional Medical CenterWest Virginia (statewide)$13,0006.9×12026-04-01
Holy Cross HospitalFlorida (statewide)$13,2506.5×242026-03-31
Cedars-Sinai Medical CenterLos Angeles CA$14,3425.7×32025-11-26
Mercy Hospital PerryMissouri (statewide)$15,3867.9×12026-03-12
Stanford Health CareSan Francisco Bay Area CA$19,5076.8×42026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for carpal tunnel release?

Across 1279 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 64721, hospital outpatient is $3,712, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,428 to $5,424. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for carpal tunnel release?

Medicare's national hospital outpatient rate for CPT 64721 is $1,995 and its surgery-center rate is $949, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for carpal tunnel release?

Lowest medians: Amberwell Hiawatha ($946), Teton Valley Hospital ($965), Wayne County Hospital ($985). Highest: Stanford Health Care ($19,507), Mercy Hospital Perry ($15,386), Cedars-Sinai Medical Center ($14,342). Coverage: every hospital whose price file we could read.