CPT 26750
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CLSD TX DISTAL PHAL FX W/OUT MAN
Low
$1
Average
$891
Median
$433
High
$10.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1724 hospitals; the 90th percentile is 10.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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3,122 hospital rates
iThe hospitals that file a UnitedHealthcare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $200 | $200 | — | — | 394 | $200 – $200 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $200 | $200 | — | — | 356 | $200 – $200 |
| 3 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $573 | $573 | $321 | 56% | 17 | $252 – $895 |
| 4 | Fairview Health Services Wyoming, MN other · inpatient | 3 | $200 | $337 | $248 | 74% | 9–90 | $126 – $685 |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $454 | $454 | $211 | 46% | 6–60 | $243 – $664 |
| 6 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $422 | $408 | $24 | 6% | 4–40 | $360 – $422 |
| 7 | Sauk Prairie Healthcare Prairie du Sac, WI facility · other · inpatient | 1 | $517 | $517 | — | — | 4–40 | $517 – $517 |
| 8 | Sauk Prairie Healthcare Prairie du Sac, WI facility · other · outpatient | 1 | $517 | $517 | — | — | 4–40 | $517 – $517 |
| 9 | Curators of the University of Missouri Jefferson City, MO facility · case rate · outpatient | 5 | $1.7k | $1.6k | $149 | 9% | 3–30 | $1.4k – $1.8k |
| 10 | Fairview Health Services Edina, MN other · inpatient | 1 | $400 | $400 | — | — | 3–30 | $400 – $400 |
| 11 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $328 | $328 | — | — | 3–30 | $328 – $328 |
| 12 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $353 | $353 | — | — | 3–30 | $353 – $353 |
| 13 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 1 | $538 | $538 | — | — | 3–30 | $538 – $538 |
| 14 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $130 | $130 | — | — | 3–30 | $130 – $130 |
| 15 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $379 | $379 | $140 | 37% | 2–20 | $238 – $519 |
| 16 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 3 | $263 | $346 | $182 | 53% | 2–20 | $207 – $650 |
| 17 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $440 | $440 | — | — | 2–20 | $440 – $440 |
| 18 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $253 | $253 | — | — | 2–20 | $253 – $253 |
| 19 | Baystate Wing Hospital Palmer, MA other · both | 1 | $253 | $253 | — | — | 2–20 | $253 – $253 |
| 20 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | $176 | 17% | 2–20 | $864 – $1.2k |
| 21 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $168 | $168 | — | — | 2–20 | $168 – $168 |
| 22 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $209 | $210 | $41 | 20% | 2–20 | $168 – $254 |
| 23 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $198 | $199 | $39 | 20% | 2–20 | $160 – $240 |
| 24 | Phoenix Children's Hospital Phoenix, AZ facility · case rate · outpatient | 1 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 25 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $646 | $646 | — | — | 2–20 | $646 – $646 |
← Payers reporting CPT 26750 · Snapshot 20261113T090226Z-3ce6c0b8