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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 26055
  4. Cost Analysis

How Much Does Incision of tendon covering of finger Cost on Medicare?

Cost analysis for CPT 26055 — Incision of tendon covering of finger

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Average Medicare Payment

$280.98

2023 data

Total Payments (2023)

$35.1M

Services (2023)

117.3K

Price Change (2014–2023)

+3.6%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$271.28$22.4M79.5K—
2015$265.08$23.9M86.2K-2.3%
2016$300.99$30.3M93.6K+13.5%
2017$269.10$27.5M97.0K-10.6%
2018$276.01$31.2M106.2K+2.6%
2019$274.12$32.9M113.3K-0.7%
2020$271.94$28.4M98.2K-0.8%
2021$278.88$33.0M111.5K+2.6%
2022$279.96$33.6M112.5K+0.4%
2023$280.98$35.1M117.3K+0.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.7x more than the cheapest for this procedure. AK averages $438.54 vs SD at $160.42.

StateAvg PaymentTotal PaymentsServicesProviders
AK$438.54$103.1K2359
HI$380.49$95.1K2507
CA$362.29$3.1M8.5K223
UT$347.47$370.1K1.1K31
CT$340.09$491.4K1.4K46
RI$340.01$145.9K42913
MD$337.74$1.1M3.3K71
NJ$330.87$1.1M3.3K85
OR$327.15$408.9K1.3K38
MN$324.69$430.9K1.3K43
NY$323.01$1.6M5.0K130
CO$322.88$995.4K3.1K72
IL$320.54$1.6M4.9K122
DE$311.48$407.1K1.3K17
IA$310.72$464.8K1.5K40
WA$309.62$1.1M3.5K89
MI$309.41$740.4K2.4K79
FL$305.44$3.2M10.3K211
WY$304.76$122.8K40315
ME$303.49$90.1K29711
NH$303.40$345.6K1.1K28
NC$299.86$1.1M3.8K100
GA$295.78$1.0M3.4K89
AZ$293.90$1.3M4.5K77
VA$292.51$1.2M4.0K87
MA$286.97$741.0K2.6K73
IN$286.18$899.5K3.1K86
NE$281.09$310.3K1.1K28
MS$280.52$419.1K1.5K27
MT$280.29$229.6K81921
AL$280.27$531.1K1.9K48
NV$279.89$284.1K1.0K22
WI$279.58$513.3K1.8K58
TN$277.05$915.6K3.3K71
PA$273.10$1.5M5.6K143
OH$271.91$1.1M4.1K118
MO$270.14$499.8K1.9K51
KS$269.53$414.5K1.5K41
DC$264.71$51.1K1936
SC$264.51$832.7K3.1K67
TX$261.87$1.6M6.1K156
LA$261.32$302.9K1.2K31
AR$254.80$269.3K1.1K31
ID$252.64$230.9K91419
NM$252.23$120.1K47614
VT$252.10$58.2K2316
KY$246.95$227.4K92128
WV$234.20$35.4K1516
ND$225.27$105.7K46912
OK$218.28$240.1K1.1K33
SD$160.42$82.3K51314

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
David ChanHand SurgeryFL$150.5K334$450.65
Lutherville Surgicenter, LlcAmbulatory Surgical CenterMD$142.2K311$457.20
Surgery Center Of Allentown LlcAmbulatory Surgical CenterPA$133.5K299$446.39
Stephen HelgemoHand SurgeryFL$130.8K319$409.90
Sf Nassau Asc LlcAmbulatory Surgical CenterNY$112.0K203$551.66
Santa Rosa Surgery Center L PAmbulatory Surgical CenterCA$111.0K180$616.58
Physicians Surgicenter LlcAmbulatory Surgical CenterNJ$107.0K229$467.31
Orthopaedic Surgery Center Of San Antonio LpAmbulatory Surgical CenterTX$105.5K284$371.59
Orthopaedic Surgery Center Of Asheville, LpAmbulatory Surgical CenterNC$104.7K248$421.98
Orthopedic Surgery Center Of Oc LlcAmbulatory Surgical CenterCA$103.9K189$549.88
Chippenham Ambulatory Surgery Center, LlcAmbulatory Surgical CenterVA$103.6K225$460.48
Ravine Way Surgery Center, LlcAmbulatory Surgical CenterIL$101.1K220$459.61
Madison Physician Surgery Center, LlcAmbulatory Surgical CenterMS$97.9K236$414.68
Beltway Surgery Centers LlcAmbulatory Surgical CenterIN$97.3K212$458.98
Focus Hand Surgicenter LlcAmbulatory Surgical CenterCO$95.8K193$496.52
E-Asc LlcAmbulatory Surgical CenterOH$93.7K208$450.42
Banner Union Hills Surgery Center LlcAmbulatory Surgical CenterAZ$88.0K200$439.90
First State Surgery Center, LlcAmbulatory Surgical CenterDE$87.7K194$451.81
Orthoarizona Scottsdale Asc, LlcAmbulatory Surgical CenterAZ$85.2K177$481.34
Bellaire Outpatient Surgery Center, LlpAmbulatory Surgical CenterTX$85.1K216$394.06

🤔 Is Incision of tendon covering of finger Overpriced?

The data suggests significant pricing inconsistencies for CPT 26055. With a 2.7x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.