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Trigger finger release: what insurers pay

Opening the tight tendon sheath that makes a finger catch. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 26055: Trigger Finger Release

1256 hospitals in 81 markets. National Medicare rate $1,643, surgery center $873.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$1,552$2,106$2,774$790–$4,227
Alaska (statewide)5$2,389$3,775$4,285$1,039–$7,564
Arizona (statewide)13$2,577$2,909$3,901$1,037–$6,354
Arkansas (statewide)9$1,511$1,668$1,686$1,369–$2,212
Atlanta GA6$4,140$4,140$4,570$4,140–$4,714
Austin TX13$1,135$2,944$3,421$1,135–$3,701
Boston MA13$2,271$2,519$2,900$1,478–$3,540
California (statewide)66$2,881$4,722$6,056$1,358–$9,348
Charlotte NC5$1,903$1,903$1,903$1,877–$1,903
Chicago IL8$2,123$2,792$3,622$1,111–$4,627
Cleveland OH11$2,559$2,932$3,330$2,068–$3,810
Colorado (statewide)17$1,608$3,676$4,294$948–$7,154
Columbus OH1———$5,784–$5,784
Connecticut (statewide)2———$3,362–$6,700
Dallas-Fort Worth TX12$2,969$3,170$3,356$2,824–$5,296
Delaware (statewide)1———$4,370–$4,370
Denver CO15$2,114$4,001$4,312$1,416–$5,026
Detroit MI16$1,816$2,192$2,536$1,137–$4,325
Florida (statewide)62$2,820$3,466$3,818$899–$10,568
Georgia (statewide)31$2,300$3,584$4,714$1,368–$11,458
Hawaii (statewide)4———$1,992–$5,408
Houston TX19$2,645$2,650$3,150$2,404–$3,695
Idaho (statewide)17$1,703$2,176$3,120$979–$7,036
Illinois (statewide)31$2,187$2,670$3,622$1,136–$6,243
Indiana (statewide)39$2,061$3,644$5,904$985–$8,220
Indianapolis IN3———$1,334–$8,123
Iowa (statewide)34$1,643$2,196$3,028$821–$4,880
Kansas (statewide)28$1,402$1,870$2,748$742–$7,564
Kentucky (statewide)16$2,013$2,193$2,508$1,544–$3,652
Las Vegas NV1———$2,929–$2,929
Los Angeles CA17$3,470$4,036$5,015$2,927–$13,680
Louisiana (statewide)24$1,697$1,840$2,602$1,200–$4,294
Maine (statewide)17$6,558$7,363$7,614$1,703–$9,572
Maryland (statewide)1———$3,778–$3,778
Massachusetts (statewide)8$1,502$2,050$2,464$1,502–$3,136
Miami-Fort Lauderdale FL1———$2,917–$2,917
Michigan (statewide)28$1,707$1,850$2,100$873–$2,912
Minneapolis-St. Paul MN9$3,046$3,142$3,142$2,218–$3,661
Minnesota (statewide)14$2,882$3,978$4,810$1,468–$5,942
Mississippi (statewide)19$1,612$2,392$2,538$1,110–$4,386
Missouri (statewide)18$2,507$3,228$3,309$1,290–$6,897
Montana (statewide)7$2,616$3,361$4,640$928–$4,764
Nashville TN8$1,973$2,404$2,426$1,637–$2,474
Nebraska (statewide)17$1,739$2,637$3,262$900–$3,909
Nevada (statewide)2———$1,014–$3,061
New Hampshire (statewide)6$4,723$5,402$6,253$4,381–$7,201
New Jersey (statewide)22$2,122$4,590$6,218$1,749–$8,155
New Mexico (statewide)9$2,746$4,472$6,900$1,175–$9,259
New York (statewide)32$2,434$3,068$3,690$1,279–$5,719
New York City8$2,538$2,538$5,965$1,942–$8,296
North Carolina (statewide)8$1,839$2,674$4,026$1,701–$4,263
North Dakota (statewide)6$1,702$2,669$3,464$1,106–$6,540
Ohio (statewide)40$2,593$3,666$4,685$1,546–$6,180
Oklahoma (statewide)13$2,318$3,299$3,573$957–$7,422
Oregon (statewide)12$3,421$4,099$5,560$1,457–$7,336
Pennsylvania (statewide)43$2,306$4,265$4,885$1,579–$7,111
Philadelphia PA11$3,526$3,680$5,201$3,148–$8,155
Phoenix AZ8$2,823$2,897$2,915$2,600–$2,968
Pittsburgh PA12$1,960$2,250$2,858$1,684–$4,028
Portland OR9$6,042$6,042$6,671$5,695–$6,671
Rhode Island (statewide)4———$2,348–$5,688
Richmond VA3———$4,146–$4,816
Rio Grande Valley TX7$2,130$2,742$3,537$2,090–$7,644
Salt Lake City UT9$1,778$1,798$1,798$1,463–$1,798
San Antonio TX3———$2,376–$2,911
San Diego CA7$3,516$3,516$3,539$2,957–$3,814
San Francisco Bay Area CA4———$5,194–$14,262
Seattle-Tacoma WA16$4,607$5,378$5,424$4,486–$6,777
South Carolina (statewide)25$5,057$6,467$6,559$1,362–$11,592
South Dakota (statewide)5$2,702$3,522$3,587$1,998–$8,156
St. Louis MO7$6,188$6,188$7,027$1,711–$8,358
Tampa FL6$3,640$3,640$3,640$2,494–$8,933
Tennessee (statewide)27$1,808$1,944$2,330$1,370–$2,689
Texas (statewide)79$2,092$2,923$3,076$943–$12,159
Utah (statewide)8$1,463$1,612$1,713$967–$5,466
Vermont (statewide)5$936$1,690$2,158$837–$4,428
Virginia (statewide)20$4,565$5,000$5,181$2,973–$5,658
Washington (statewide)15$3,366$4,555$4,832$1,132–$8,752
Washington DC10$3,325$3,521$3,554$2,881–$3,554
West Virginia (statewide)8$2,325$2,794$5,540$1,776–$10,705
Wisconsin (statewide)47$2,780$3,077$4,531$1,172–$6,834

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Clay County Medical CenterKansas (statewide)$7420.5×12026-07-22
Susan B Allen Memorial HospitalKansas (statewide)$7570.5×12025-05-27
Amberwell Atchison AssociationKansas (statewide)$7740.5×12026-08-18
Usa Health University HospitalAlabama (statewide)$7900.5×22026-04-30
Guttenberg Municipal HospitalIowa (statewide)$8210.5×12026-03-31
Amberwell HiawathaKansas (statewide)$8240.6×32026-08-18
Southwestern Vermont Medical CenterVermont (statewide)$8370.5×12025-01-01
Usa Health Children'S & Women'S HospitalAlabama (statewide)$8500.6×12026-04-30
Helen Newberry Joy HospitalMichigan (statewide)$8730.5×12026-09-02
Jay HospitalFlorida (statewide)$8990.5×82025-12-23
Oaklawn HospitalMichigan (statewide)$8990.6×22026-03-27
Chi Health - Mercy CorningIowa (statewide)$9000.6×102026-02-28
Mainehealth Lincoln HospitalMaine (statewide)$9,5726.0×12025-09-09
Mcleod Loris HospitalSouth Carolina (statewide)$10,1306.8×22026-07-20
Mcleod Health ClarendonSouth Carolina (statewide)$10,1306.8×22026-07-20
Holy Cross HospitalFlorida (statewide)$10,5686.3×242026-03-31
Logan Regional Medical CenterWest Virginia (statewide)$10,7056.9×12026-04-01
Northeast Georgia Medical Center, IncGeorgia (statewide)$11,4587.4×12026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$11,4587.1×12026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$11,4587.1×12026-04-01
Mcleod Medical Center - DillonSouth Carolina (statewide)$11,5927.8×12026-07-20
Methodist Dallas Medical CenterTexas (statewide)$12,1597.5×12026-03-20
Cedars-Sinai Medical CenterLos Angeles CA$13,6806.6×22025-11-26
Stanford Health CareSan Francisco Bay Area CA$14,2626.0×32026-04-01

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 trigger finger release?

Across 1256 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 26055, hospital outpatient is $3,069, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,100 to $4,338. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for trigger finger release?

Medicare's national hospital outpatient rate for CPT 26055 is $1,643 and its surgery-center rate is $873, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for trigger finger release?

Lowest medians: Clay County Medical Center ($742), Susan B Allen Memorial Hospital ($757), Amberwell Atchison Association ($774). Highest: Stanford Health Care ($14,262), Cedars-Sinai Medical Center ($13,680), Methodist Dallas Medical Center ($12,159). Coverage: every hospital whose price file we could read.