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: Arthrp Ntrcrp/Crp/Mtcr Ntrps
91 hospitals in 32 markets. National Medicare rate $3,343, surgery center $1,645.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,006–$7,006 |
| Austin TX | 2 | — | — | — | $2,628–$8,322 |
| Boston MA | 7 | $4,170 | $4,206 | $4,786 | $3,986–$6,288 |
| California (statewide) | 1 | — | — | — | $16,949–$16,949 |
| Chicago IL | 6 | $5,121 | $6,848 | $11,373 | $4,730–$13,156 |
| Cleveland OH | 5 | $6,702 | $6,714 | $7,589 | $5,958–$8,163 |
| Columbus OH | 1 | — | — | — | $11,769–$11,769 |
| Dallas-Fort Worth TX | 4 | — | — | — | $7,665–$14,220 |
| Denver CO | 7 | $5,455 | $6,989 | $7,134 | $4,174–$7,325 |
| Detroit MI | 7 | $3,075 | $3,128 | $4,476 | $1,884–$8,165 |
| Georgia (statewide) | 1 | — | — | — | $7,750–$7,750 |
| Houston TX | 1 | — | — | — | $5,584–$5,584 |
| Indianapolis IN | 1 | — | — | — | $10,022–$10,022 |
| Kansas (statewide) | 1 | — | — | — | $7,659–$7,659 |
| Las Vegas NV | 2 | — | — | — | $3,428–$4,181 |
| Los Angeles CA | 2 | — | — | — | $11,994–$29,009 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $4,733–$4,733 |
| Nashville TN | 4 | — | — | — | $2,629–$4,649 |
| New York City | 3 | — | — | — | $6,787–$14,076 |
| Ohio (statewide) | 1 | — | — | — | $5,870–$5,870 |
| Philadelphia PA | 5 | $7,138 | $10,110 | $10,400 | $6,812–$12,874 |
| Phoenix AZ | 3 | — | — | — | $4,305–$4,987 |
| Pittsburgh PA | 1 | — | — | — | $7,410–$7,410 |
| Portland OR | 6 | $13,007 | $13,007 | $20,249 | $13,007–$22,663 |
| Richmond VA | 2 | — | — | — | $7,860–$7,860 |
| San Antonio TX | 1 | — | — | — | $5,940–$5,940 |
| San Diego CA | 1 | — | — | — | $4,208–$4,208 |
| San Francisco Bay Area CA | 1 | — | — | — | $29,762–$29,762 |
| Seattle-Tacoma WA | 6 | $10,046 | $10,872 | $11,961 | $9,897–$12,938 |
| Tampa FL | 2 | — | — | — | $6,505–$8,832 |
| Washington DC | 4 | — | — | — | $4,782–$6,895 |
| Wisconsin (statewide) | 1 | — | — | — | $7,117–$7,117 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Corewell Health Dearborn Hospital | Detroit MI | $1,884 | 0.6× | 1 | 2026-05-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,628 | 0.8× | 1 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $2,629 | 0.8× | 1 | 2026-01-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $3,022 | 0.9× | 2 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $3,128 | 1.0× | 2 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $3,128 | 1.0× | 2 | 2026-05-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,212 | 1.0× | 8 | 2025-10-01 |
| Henderson Hospital | Las Vegas NV | $3,428 | 1.0× | 4 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,884 | 1.2× | 2 | 2026-01-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $3,986 | 1.0× | 2 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $4,112 | 1.3× | 16 | 2026-03-31 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $4,158 | 1.1× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $4,174 | 1.2× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $4,174 | 1.2× | 4 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $4,181 | 1.2× | 7 | 2026-07-01 |
| New England Baptist Hospital | Boston MA | $4,183 | 1.1× | 4 | 2026-04-01 |
| Winchester Hospital | Boston MA | $4,206 | 1.1× | 3 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $4,208 | 1.0× | 1 | 2026-03-30 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $4,305 | 1.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $4,305 | 1.2× | 5 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $4,341 | 1.1× | 3 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $4,649 | 1.5× | 5 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $4,730 | 1.4× | 2 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $4,733 | 1.4× | 3 | 2026-03-31 |
| George Washington Univ Hospital | Washington DC | $4,782 | 1.2× | 3 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $4,840 | 1.5× | 1 | 2026-01-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,985 | 1.4× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $4,987 | 1.4× | 4 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $5,232 | 1.3× | 3 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,530 | 1.6× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $5,584 | 1.7× | 6 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $5,870 | 1.8× | 4 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,940 | 1.8× | 5 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $5,958 | 1.9× | 3 | 2026-07-14 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,288 | 1.6× | 1 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $6,505 | 1.9× | 2 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $6,702 | 2.2× | 1 | 2026-06-15 |
| Medina Hospital | Cleveland OH | $6,714 | 2.2× | 2 | 2026-06-15 |
| HCA HealthONE Swedish | Denver CO | $6,736 | 1.9× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $6,766 | 2.0× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $6,778 | 2.0× | 4 | 2026-09-01 |
| Montefiore Medical Center | New York City | $6,787 | 1.7× | 9 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $6,812 | 2.0× | 2 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $6,895 | 2.0× | 5 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $6,989 | 2.0× | 4 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $7,006 | 2.1× | 6 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $7,030 | 2.0× | 4 | 2026-09-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $7,117 | 2.2× | 3 | 2026-01-01 |
| Bryn Mawr Hospital | Philadelphia PA | $7,138 | 2.1× | 2 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $7,238 | 2.1× | 4 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $7,325 | 2.1× | 3 | 2025-11-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $7,410 | 2.3× | 1 | 2026-03-06 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $7,589 | 2.5× | 1 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $7,659 | 2.5× | 5 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $7,665 | 2.3× | 3 | 2026-06-29 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $7,750 | 2.7× | 3 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $7,860 | 2.5× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $7,860 | 2.5× | 4 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $8,163 | 2.6× | 2 | 2026-06-16 |
| Harper University Hospital | Detroit MI | $8,165 | 2.5× | 1 | 2026-09-02 |
| Endeavor Health Evanston Hospital | Chicago IL | $8,167 | 2.3× | 3 | 2026-04-01 |
| St David's Medical Center | Austin TX | $8,322 | 2.5× | 5 | 2026-09-01 |
| Morton Plant Hospital | Tampa FL | $8,832 | 2.6× | 2 | 2026-01-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $9,897 | 2.6× | 5 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $10,002 | 2.6× | 6 | 2026-02-28 |
| Riverview Health | Indianapolis IN | $10,022 | 2.9× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $10,110 | 3.0× | 3 | 2026-09-15 |
| St Anthony Hospital | Seattle-Tacoma WA | $10,179 | 2.7× | 6 | 2026-02-28 |
| Jefferson Stratford Hospital | Philadelphia PA | $10,400 | 2.8× | 3 | 2026-09-15 |
| Swedish Medical Center | Seattle-Tacoma WA | $11,565 | 3.0× | 5 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $11,769 | 3.7× | 20 | 2026-03-31 |
| Medical City Mckinney | Dallas-Fort Worth TX | $11,960 | 3.6× | 5 | 2026-09-01 |
| Keck Hospital Of Usc | Los Angeles CA | $11,994 | 2.9× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $12,093 | 3.2× | 7 | 2026-08-27 |
| Medical City Plano | Dallas-Fort Worth TX | $12,435 | 3.8× | 5 | 2026-09-01 |
| Loyola University Medical Center | Chicago IL | $12,442 | 3.5× | 1 | 2026-03-31 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $12,874 | 3.5× | 1 | 2026-03-24 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $12,938 | 3.4× | 6 | 2026-08-27 |
| Legacy Emanuel Medical Center | Portland OR | $13,007 | 3.6× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $13,007 | 3.6× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $13,007 | 3.6× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $13,007 | 3.6× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $13,156 | 3.8× | 2 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $13,586 | 3.3× | 5 | 2026-01-01 |
| Hospital for Special Surgery | New York City | $14,076 | 3.5× | 6 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $14,220 | 4.3× | 2 | 2026-04-21 |
| Los Robles Hospital & Medical Center | California (statewide) | $16,949 | 4.0× | 5 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $22,663 | 6.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $22,663 | 6.2× | 3 | 2026-04-01 |
| 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 |
Questions
How much do commercial insurers pay hospitals for thumb base arthritis surgery (cmc arthroplasty)?
Across 91 hospitals in 32 metro areas that post a usable dollar rate, the median commercial rate for CPT 25447, hospital outpatient is $7,006, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,732 to $10,290. 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: Corewell Health Dearborn Hospital ($1,884), Ascension Seton Medical Center Austin ($2,628), Ascension Saint Thomas Rutherford ($2,629). Highest: Stanford Health Care ($29,762), Cedars-Sinai Medical Center ($29,009), Providence Portland Medical Center ($22,663). Coverage is limited to the markets listed on this page.