64625 (CPT) — raw rate rows

CPT · raw rates

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Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

View state-by-state → View hospital-by-hospital →

Typical negotiated price $2,481

Usually $1,670–$3,923 (25th–75th percentile) across 2,326 hospitals · 5,722 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT 64625 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Estimated complete episode

What the whole episode might cost

Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the the surgeon's fee are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.

What hospitals actually negotiate Measured

$1,670 $2,481 typical $3,923

The middle 50% of negotiated facility rates for this procedure, measured across 2,326 hospitals. The the surgeon's fee are modeled estimates added on top.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data.	$2,481
Surgeon (professional fee) Estimate national typical Medicare $177 × 1.22 commercial.	$216
Likely subtotal	$2,697

Surgical episode (typical) ~$2,697

Not included in this estimate:

Rehab, physical therapy, and other post-acute care after discharge
Complications, revisions, or readmissions
Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)

The biggest swing: which insurer's rate applies — negotiated prices here run $1,670–$3,923.

How each figure is sourced

Hospital facility (actual): source: Hospital MRF (45 CFR 180)
Surgeon (professional fee) (estimate): rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

Estimate your cost

What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimates your out-of-pocket on the complete episode — the facility charge plus the separately-billed professional fees (each an estimate). Your EOB shows your real total.

Uninsured estimates use the cash / self-pay median for this code: $2,451.

I am… Annual deductible (assumed — typical plan) Already spent this year

Checked your insurer’s portal? Enter your remaining deductible and out-of-pocket max above/below and leave “already spent” at 0.

Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible) Fixed copay for this care (if your plan has one) Plan type

Loading estimate…

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital	Payer	Plan	Negotiated rate	Gross	Cash	Observed	Source

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