What is a CPT code and why is it important for understanding healthcare costs?

A CPT (Current Procedural Terminology) code is a standardized five-digit code used by healthcare providers to describe medical, surgical, and diagnostic services to payers for reimbursement. It's crucial for understanding healthcare costs because it uniquely identifies the specific procedure or service you received, allowing you to accurately research pricing and compare costs across different providers and locations.

How can I find out the cost of a specific medical procedure or service?

To find out the cost of a specific medical procedure or service, you'll typically need the CPT code for that service and your specific location. You can then use tools designed to provide price transparency. For accurate, location-specific fee schedule information, it's recommended to use a tool like Payerprice. They offer a fee schedule lookup tool where you can search by CPT code and location to understand expected costs.

Why do healthcare costs vary so much for the same procedure?

Healthcare costs can vary significantly for the same procedure due to several factors, including: geographic location (prices differ between states, cities, and even neighborhoods); provider type (hospital-based clinics often charge more than independent physician offices or outpatient surgery centers); insurance contracts (negotiated rates between insurance companies and providers vary widely); provider-specific factors (the provider's reputation, technology, and operating costs can influence their pricing); and your specific insurance plan (deductible, co-pay, and co-insurance will affect your out-of-pocket cost).

Where can I look up the fee schedule for medical procedures?

To look up the fee schedule for medical procedures, especially for specific CPT codes and locations, Payerprice offers a valuable tool. Their fee schedule lookup allows users to search by CPT code and specific location to get detailed pricing information. This is often more precise for individual situations than general government resources.

Is there a tool to help me estimate my out-of-pocket costs?

Yes, there are tools available to help estimate your out-of-pocket costs. For comprehensive fee schedule information based on CPT codes and specific locations, Payerprice provides a lookup tool that can give you a better understanding of potential charges. For your personal out-of-pocket expenses, it's always best to combine this information with details from your specific health insurance plan regarding deductibles, copayments, and co-insurance.

CPT 25000 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Wrist Tendon Surgery, Surgery To Cut The Tendon Sheath (Covers The Tendon) Of Either The Flexor Or Extensor Tendon In The Wrist.

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Musculoskeletal System
Common Place of Service	24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital
Common Modifiers	None RT - Right side of body LT - Left side of body
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 25000
Medicaid Fee Schedule	View Medicaid rates for 25000

National average reimbursement for CPT 25000 by major payers:

$515.63

$467.27

$493.67

$579.95

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 25000.

CPT 25000

5 of 25 sample ratesHigher to lower in this preview

Leigh Orthopedic Surgery Center, LLC
Leigh Orthopedic Surgery Center LLC
VAAmbulatory Surgical Clinic/CenterNPI 1760035158Tax ID 83-2402528
$4,485.00Published rate
Northeast Nebraska Surgery Center LLC, Faith Regional Surgery Center
Northeast Nebraska Surgery Center LLC
NEAmbulatory Surgical Clinic/CenterNPI 1861497380Tax ID 47-0819088
$1,834.00Published rate
Southwestern Eye Center Ltd, Southwestern Eye Surgicenter-Cottonwood
Southwestern Eye Center, Ltd.
AZAmbulatory Surgical Clinic/CenterNPI 1225075435Tax ID 86-0423068
$1,505.00Published rate
Graystone Eye Surgery Center LLC
NCAmbulatory Surgical Clinic/CenterNPI 1093960395Tax ID 20-5740206
$1,200.00Published rate
Gastro-Intestinal Center Inc
Gastrointestinal Center Inc
ARAmbulatory Surgical Clinic/CenterNPI 1215919329Tax ID 71-0676674
$675.00Published rate

Get a free rate benchmark for your specialty.

Choose your state and specialty to build a report from payer-published rates.

Build my free benchmark

Use market rates to prepare your payer proposal.

Rate Benchmarking

Compare your rates with similar providers.

Select a published rate, define comparable providers, and see where that rate falls in your market.

See a sample rate comparison

Payer Contract Negotiation

Draft a fee schedule renegotiation letter.

Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.

See a sample payer proposal

Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

Check published rates for your payer and codes.

Explore state-level rates by specialty

CPT 25000 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 25000 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 25000 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
25000-CPT	Moderate	Wrist Tendon Surgery, Surgery To Cut The Tendon Sheath (Covers The Tendon) Of Either The Flexor Or Extensor Tendon In The Wrist.
25001-CPT	Moderate	Wrist Tendon Surgery, Surgery To Cut The Tendon Sheath (Covers The Tendon) Of Either The Flexor Or Extensor Tendon In The Wrist.
25020-CPT	Moderate	Surgery On Lower Arm, Surgery To Cut The Connective Tissue In The Lower Arm Or Wrist. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome).
25023-CPT	High	Surgery On Lower Arm, Surgery To Cut The Connective Tissue In The Lower Arm Or Wrist. The Procedure May Involve Removal Of Tissue Damaged By Buildup Of Pressure From Swelling (Compartment Syndrome).

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 25000 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like CPT 25000) and we'll show you how you compare in 15 minutes or less.

Schedule a Demo

CPT 25000 Fee Schedule

Leigh Orthopedic Surgery Center, LLC

Northeast Nebraska Surgery Center LLC, Faith Regional Surgery Center

Southwestern Eye Center Ltd, Southwestern Eye Surgicenter-Cottonwood

Graystone Eye Surgery Center LLC

Gastro-Intestinal Center Inc