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Cubital tunnel release (ulnar nerve): what insurers pay

Releasing or moving the ulnar nerve at the elbow. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 64718: Cubital Tunnel Release (Ulnar Nerve)

1230 hospitals in 80 markets. National Medicare rate $1,995, surgery center $949.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)13$2,014$2,118$3,129$1,052–$4,390
Alaska (statewide)5$2,901$3,950$4,285$1,244–$11,876
Arizona (statewide)11$2,539$3,368$3,958$1,304–$6,628
Arkansas (statewide)11$1,644$1,784$1,846$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 MA13$2,916$3,129$3,603$1,630–$4,730
California (statewide)59$3,404$5,762$7,390$1,838–$11,383
Charlotte NC5$2,322$2,322$2,322$2,290–$2,322
Chicago IL8$3,703$4,144$6,851$2,060–$7,295
Cleveland OH11$2,902$3,239$3,446$1,857–$4,529
Colorado (statewide)15$4,178$4,923$5,670$1,416–$7,895
Columbus OH2———$7,024–$7,024
Connecticut (statewide)3———$1,306–$8,136
Dallas-Fort Worth TX13$4,182$4,807$4,880$3,806–$8,809
Denver CO15$2,565$5,105$5,396$1,416–$6,170
Detroit MI17$2,428$2,428$3,765$991–$5,812
Florida (statewide)63$3,463$4,452$5,646$1,038–$8,690
Georgia (statewide)28$3,039$4,423$4,714$1,450–$12,890
Hawaii (statewide)3———$2,430–$5,144
Houston TX18$3,601$3,711$4,052$2,771–$4,151
Idaho (statewide)18$1,794$1,867$3,726$1,069–$5,850
Illinois (statewide)32$2,485$3,249$4,902$1,102–$8,176
Indiana (statewide)42$2,288$4,079$6,516$1,059–$8,220
Indianapolis IN2———$1,175–$8,123
Iowa (statewide)32$1,232$2,398$3,390$1,069–$5,926
Kansas (statewide)23$2,380$2,736$3,366$915–$8,303
Kentucky (statewide)15$2,293$2,552$2,756$1,613–$3,652
Las Vegas NV2———$2,268–$3,010
Los Angeles CA17$3,874$5,204$5,729$3,572–$14,342
Louisiana (statewide)25$1,880$2,122$2,581$1,300–$5,215
Maine (statewide)16$8,002$9,081$9,290$4,168–$11,680
Maryland (statewide)1———$1,576–$1,576
Massachusetts (statewide)5$2,332$2,431$2,660$1,866–$3,308
Miami-Fort Lauderdale FL1———$4,342–$4,342
Michigan (statewide)30$991$2,092$2,641$988–$3,743
Minneapolis-St. Paul MN8$3,478$3,478$3,655$2,436–$4,467
Minnesota (statewide)15$3,418$5,160$6,392$1,152–$8,533
Mississippi (statewide)15$2,930$3,104$3,429$2,121–$4,478
Missouri (statewide)23$2,728$3,708$4,672$1,182–$15,386
Montana (statewide)6$2,862$4,056$4,598$1,028–$5,865
Nashville TN8$2,534$2,612$2,747$1,637–$3,126
Nebraska (statewide)18$1,302$3,376$3,968$1,059–$6,799
Nevada (statewide)5$2,017$2,268$3,717$2,017–$5,089
New Hampshire (statewide)6$5,692$6,700$8,254$4,381–$10,042
New Jersey (statewide)23$2,904$5,538$7,516$2,134–$9,421
New Mexico (statewide)7$3,748$7,922$8,342$1,429–$12,311
New York (statewide)31$2,717$3,327$4,242$1,445–$6,842
New York City9$2,816$3,467$5,598$2,806–$8,314
North Carolina (statewide)5$4,292$5,178$5,298$3,928–$9,044
North Dakota (statewide)6$3,185$3,394$4,160$1,528–$6,540
Ohio (statewide)42$2,612$4,094$5,950$1,514–$7,769
Oklahoma (statewide)21$1,150$1,995$4,015$1,018–$7,918
Oregon (statewide)10$4,540$5,282$6,838$1,114–$9,041
Pennsylvania (statewide)40$2,316$3,568$6,179$1,421–$8,635
Philadelphia PA11$3,974$4,278$5,522$3,414–$8,155
Phoenix AZ8$2,929$3,039$3,121$2,600–$3,368
Pittsburgh PA11$1,879$2,281$3,238$1,689–$4,387
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 TX7$2,587$2,738$4,807$2,538–$9,852
Salt Lake City UT9$1,931$1,952$1,952$1,758–$1,952
San Antonio TX3———$3,088–$4,590
San Diego CA7$4,270$4,270$4,297$3,591–$4,631
San Francisco Bay Area CA5$5,606$6,134$18,129$5,194–$19,507
Seattle-Tacoma WA16$5,912$6,295$6,894$5,238–$7,768
South Carolina (statewide)19$4,953$6,492$8,628$1,413–$11,592
South Dakota (statewide)3———$2,412–$10,276
St. Louis MO10$3,234$5,888$6,188$2,975–$8,358
Tampa FL6$6,291$6,291$6,291$2,969–$9,268
Tennessee (statewide)27$1,992$2,335$2,647$1,736–$3,281
Texas (statewide)78$2,558$3,721$4,807$1,651–$8,220
Utah (statewide)8$1,758$1,796$1,861$1,227–$6,849
Vermont (statewide)1———$4,041–$4,041
Virginia (statewide)20$5,254$6,000$6,780$4,002–$9,810
Washington (statewide)13$5,074$5,677$6,766$1,969–$10,090
Washington DC9$3,616$4,413$4,413$3,273–$4,413
West Virginia (statewide)8$3,163$3,276$4,619$2,168–$13,000
Wisconsin (statewide)45$4,506$5,796$6,825$1,531–$8,762

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Amberwell Atchison AssociationKansas (statewide)$9150.5×22026-08-18
Nemaha Valley Community HospitalKansas (statewide)$9470.5×22026-09-16
Mclaren FlintMichigan (statewide)$9880.5×22025-12-31
Mclaren OaklandMichigan (statewide)$9880.5×22025-12-31
Mclaren Caro RegionMichigan (statewide)$9880.5×22025-12-31
Mclaren Thumb RegionMichigan (statewide)$9880.5×22025-12-31
Mclaren Bay RegionMichigan (statewide)$9910.5×12025-12-31
Mclaren Northern MichiganMichigan (statewide)$9910.5×32025-12-31
Mclaren Greater LansingMichigan (statewide)$9910.5×32025-12-31
Mclaren Lapeer RegionDetroit MI$9910.5×32025-12-31
Mclaren Port HuronDetroit MI$9910.5×32025-12-31
Mclaren MacombMichigan (statewide)$9910.5×32025-12-31
Mainehealth Lincoln HospitalMaine (statewide)$11,6806.1×12025-09-09
Providence Alaska Medical CenterAlaska (statewide)$11,8765.5×22026-04-01
Presbyterian Santa Fe Medical CenterNew Mexico (statewide)$12,3116.1×12026-04-01
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
Mercy Hospital LebanonMissouri (statewide)$13,1356.7×12026-06-10
Cedars-Sinai Medical CenterLos Angeles CA$14,3425.7×32025-11-26
Mercy Hospital PerryMissouri (statewide)$15,3867.9×12026-03-12
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$18,1296.6×82026-03-23
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 cubital tunnel release (ulnar nerve)?

Across 1230 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 64718, hospital outpatient is $3,727, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,429 to $5,560. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for cubital tunnel release (ulnar nerve)?

Medicare's national hospital outpatient rate for CPT 64718 is $1,995 and its surgery-center rate is $949, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for cubital tunnel release (ulnar nerve)?

Lowest medians: Amberwell Atchison Association ($915), Nemaha Valley Community Hospital ($947), Mclaren Flint ($988). Highest: Stanford Health Care ($19,507), John Muir Medical Center - Walnut Creek Campus ($18,129), Mercy Hospital Perry ($15,386). Coverage: every hospital whose price file we could read.