Price AtlasInteractive atlas · All states · techysurgeon.comThumb base arthritis surgery (CMC arthroplasty): what insurers pay
Removing or reshaping the arthritic joint at the base of the thumb. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 25447: Thumb Base Arthritis Surgery (Cmc Arthroplasty)
1102 hospitals in 80 markets. National Medicare rate $3,343, surgery center $1,645.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 12 | $3,648 | $5,142 | $5,913 | $2,150–$11,083 |
| Alaska (statewide) | 4 | — | — | — | $2,985–$16,823 |
| Arizona (statewide) | 10 | $4,050 | $5,260 | $5,745 | $2,104–$8,493 |
| Arkansas (statewide) | 8 | $2,800 | $2,930 | $3,856 | $2,320–$4,485 |
| Atlanta GA | 6 | $6,822 | $7,006 | $7,006 | $6,760–$7,006 |
| Austin TX | 13 | $2,628 | $5,314 | $7,090 | $2,628–$7,799 |
| Boston MA | 11 | $4,782 | $5,031 | $5,642 | $3,402–$6,591 |
| California (statewide) | 54 | $5,937 | $9,573 | $12,278 | $3,112–$20,591 |
| Charlotte NC | 5 | $3,857 | $3,857 | $3,857 | $3,805–$3,857 |
| Chicago IL | 8 | $5,394 | $9,387 | $11,066 | $4,730–$13,156 |
| Cleveland OH | 11 | $5,104 | $5,427 | $5,538 | $3,405–$7,624 |
| Colorado (statewide) | 16 | $3,095 | $6,692 | $8,688 | $1,936–$13,029 |
| Columbus OH | 1 | — | — | — | $11,769–$11,769 |
| Connecticut (statewide) | 3 | — | — | — | $2,069–$13,633 |
| Dallas-Fort Worth TX | 12 | $7,519 | $8,072 | $10,382 | $6,513–$14,101 |
| Delaware (statewide) | 1 | — | — | — | $8,892–$8,892 |
| Denver CO | 15 | $3,576 | $8,126 | $9,124 | $2,596–$9,634 |
| Detroit MI | 13 | $4,379 | $4,379 | $5,261 | $2,031–$8,165 |
| Florida (statewide) | 61 | $6,802 | $8,721 | $9,962 | $2,389–$15,344 |
| Georgia (statewide) | 27 | $4,928 | $6,760 | $7,150 | $2,616–$19,412 |
| Hawaii (statewide) | 4 | — | — | — | $2,900–$6,084 |
| Houston TX | 19 | $5,186 | $6,245 | $8,028 | $4,441–$8,104 |
| Idaho (statewide) | 16 | $3,159 | $4,795 | $7,163 | $1,744–$14,096 |
| Illinois (statewide) | 27 | $4,440 | $5,260 | $8,204 | $1,803–$10,607 |
| Indiana (statewide) | 31 | $4,219 | $6,993 | $13,044 | $2,554–$27,105 |
| Indianapolis IN | 2 | — | — | — | $10,022–$13,611 |
| Iowa (statewide) | 25 | $2,756 | $5,057 | $6,903 | $1,651–$11,294 |
| Kansas (statewide) | 17 | $3,769 | $4,571 | $6,219 | $1,791–$16,030 |
| Kentucky (statewide) | 15 | $4,216 | $4,493 | $5,151 | $2,594–$7,235 |
| Las Vegas NV | 2 | — | — | — | $3,010–$3,802 |
| Los Angeles CA | 17 | $6,858 | $8,431 | $9,834 | $5,934–$29,009 |
| Louisiana (statewide) | 23 | $3,231 | $4,935 | $6,493 | $2,737–$12,884 |
| Maine (statewide) | 16 | $13,295 | $15,088 | $15,435 | $3,465–$19,406 |
| Maryland (statewide) | 1 | — | — | — | $9,290–$9,290 |
| Massachusetts (statewide) | 6 | $3,829 | $4,074 | $4,683 | $3,000–$5,490 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,058–$6,058 |
| Michigan (statewide) | 26 | $3,842 | $4,466 | $5,369 | $1,829–$6,982 |
| Minneapolis-St. Paul MN | 8 | $5,207 | $5,338 | $5,522 | $4,733–$7,422 |
| Minnesota (statewide) | 13 | $5,631 | $9,106 | $11,017 | $2,214–$14,305 |
| Mississippi (statewide) | 12 | $4,898 | $5,040 | $5,327 | $4,051–$8,923 |
| Missouri (statewide) | 17 | $4,387 | $6,033 | $8,483 | $3,646–$13,429 |
| Montana (statewide) | 4 | — | — | — | $6,562–$14,311 |
| Nashville TN | 8 | $4,333 | $4,540 | $5,106 | $2,629–$6,688 |
| Nebraska (statewide) | 14 | $4,252 | $9,692 | $11,294 | $1,741–$23,542 |
| Nevada (statewide) | 4 | — | — | — | $3,428–$6,228 |
| New Hampshire (statewide) | 6 | $11,205 | $12,016 | $13,709 | $10,989–$14,652 |
| New Jersey (statewide) | 22 | $4,779 | $7,270 | $8,948 | $3,545–$16,414 |
| New Mexico (statewide) | 7 | $5,462 | $10,601 | $12,707 | $2,548–$18,552 |
| New York (statewide) | 31 | $3,636 | $5,759 | $7,224 | $2,808–$14,175 |
| New York City | 8 | $3,635 | $5,216 | $8,392 | $3,619–$14,768 |
| North Carolina (statewide) | 5 | $7,734 | $8,674 | $12,166 | $6,041–$16,161 |
| North Dakota (statewide) | 5 | $5,716 | $7,395 | $7,705 | $5,613–$8,500 |
| Ohio (statewide) | 39 | $4,507 | $6,817 | $9,699 | $1,988–$12,576 |
| Oklahoma (statewide) | 14 | $2,536 | $5,586 | $7,759 | $1,740–$16,414 |
| Oregon (statewide) | 10 | $7,588 | $8,768 | $11,342 | $5,067–$14,924 |
| Pennsylvania (statewide) | 24 | $4,563 | $6,513 | $8,959 | $3,161–$14,470 |
| Philadelphia PA | 11 | $6,938 | $7,206 | $9,224 | $5,438–$12,874 |
| Phoenix AZ | 8 | $4,240 | $4,305 | $4,476 | $4,045–$4,987 |
| Pittsburgh PA | 11 | $3,334 | $4,160 | $6,947 | $2,851–$8,166 |
| Portland OR | 9 | $13,007 | $13,007 | $13,575 | $11,904–$13,575 |
| Rhode Island (statewide) | 3 | — | — | — | $6,284–$13,083 |
| Richmond VA | 3 | — | — | — | $7,664–$9,089 |
| Rio Grande Valley TX | 4 | — | — | — | $4,291–$8,717 |
| Salt Lake City UT | 9 | $2,920 | $2,920 | $2,920 | $2,892–$2,947 |
| San Antonio TX | 3 | — | — | — | $4,814–$6,170 |
| San Diego CA | 7 | $7,154 | $7,154 | $7,200 | $6,018–$7,760 |
| San Francisco Bay Area CA | 4 | — | — | — | $7,984–$29,762 |
| Seattle-Tacoma WA | 16 | $8,358 | $9,173 | $9,502 | $6,381–$11,565 |
| South Carolina (statewide) | 20 | $9,903 | $12,824 | $19,688 | $1,914–$23,229 |
| South Dakota (statewide) | 3 | — | — | — | $5,017–$16,579 |
| Tampa FL | 6 | $8,832 | $8,832 | $8,832 | $4,885–$15,638 |
| Tennessee (statewide) | 24 | $3,119 | $3,706 | $4,597 | $2,899–$5,737 |
| Texas (statewide) | 77 | $4,520 | $5,994 | $8,104 | $2,563–$20,580 |
| Utah (statewide) | 6 | $2,761 | $2,842 | $2,940 | $2,760–$2,947 |
| Vermont (statewide) | 2 | — | — | — | $4,248–$6,953 |
| Virginia (statewide) | 20 | $9,089 | $10,054 | $11,186 | $6,578–$16,585 |
| Washington (statewide) | 13 | $6,840 | $8,642 | $9,666 | $3,318–$16,014 |
| Washington DC | 9 | $6,895 | $6,895 | $6,895 | $5,781–$7,826 |
| West Virginia (statewide) | 4 | — | — | — | $3,602–$21,783 |
| Wisconsin (statewide) | 40 | $6,400 | $9,717 | $11,115 | $2,106–$12,908 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Waverly Health Center | Iowa (statewide) | $1,651 | 0.5× | 2 | 2026-03-03 |
| Iowa Specialty Hospital - Belmond | Iowa (statewide) | $1,715 | 0.6× | 3 | 2026-04-22 |
| Iowa Specialty Hospital - Clarion | Iowa (statewide) | $1,715 | 0.6× | 3 | 2026-06-11 |
| Ascension St John Jane Phillips | Oklahoma (statewide) | $1,740 | 0.6× | 1 | 2026-01-01 |
| Ascension St John Nowata | Oklahoma (statewide) | $1,740 | 0.6× | 1 | 2026-01-01 |
| Harlan County Health System | Nebraska (statewide) | $1,741 | 0.5× | 2 | 2026-09-02 |
| Bonner General Hospital | Idaho (statewide) | $1,744 | 0.5× | 2 | 2026-08-01 |
| Ascension St John Owasso | Oklahoma (statewide) | $1,760 | 0.6× | 1 | 2026-01-01 |
| Manhattan Surgical Hospital Llc | Kansas (statewide) | $1,791 | 0.6× | 1 | 2025-11-12 |
| Gibson Community Hospital | Illinois (statewide) | $1,803 | 0.5× | 1 | 2026-01-27 |
| Teton Valley Hospital | Idaho (statewide) | $1,816 | 0.6× | 3 | 2026-07-21 |
| Oaklawn Hospital | Michigan (statewide) | $1,829 | 0.6× | 2 | 2026-03-27 |
| Mcleod Health Clarendon | South Carolina (statewide) | $20,298 | 6.7× | 2 | 2026-07-20 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $20,368 | 5.9× | 1 | 2026-09-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $20,580 | 5.9× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $20,580 | 6.3× | 1 | 2026-09-01 |
| Mission Community Hospital | California (statewide) | $20,591 | 4.9× | 2 | 2026-09-01 |
| Carolina Pines Regional Medical Center | South Carolina (statewide) | $20,730 | 6.8× | 3 | 2026-04-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $21,783 | 6.9× | 1 | 2026-04-01 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $23,229 | 7.6× | 1 | 2026-07-20 |
| Chi Health St Francis | Nebraska (statewide) | $23,542 | 6.9× | 6 | 2026-02-28 |
| Saint Joseph Regional Medical Center - Plymouth | Indiana (statewide) | $27,105 | 7.8× | 25 | 2026-03-31 |
| Cedars-Sinai Medical Center | Los Angeles CA | $29,009 | 6.9× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $29,762 | 6.2× | 2 | 2026-04-01 |
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 thumb base arthritis surgery (cmc arthroplasty)?
Across 1102 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 25447, hospital outpatient is $6,653, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,379 to $9,566. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for thumb base arthritis surgery (cmc arthroplasty)?
Medicare's national hospital outpatient rate for CPT 25447 is $3,343 and its surgery-center rate is $1,645, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for thumb base arthritis surgery (cmc arthroplasty)?
Lowest medians: Waverly Health Center ($1,651), Iowa Specialty Hospital - Belmond ($1,715), Iowa Specialty Hospital - Clarion ($1,715). Highest: Stanford Health Care ($29,762), Cedars-Sinai Medical Center ($29,009), Saint Joseph Regional Medical Center - Plymouth ($27,105). Coverage: every hospital whose price file we could read.