How can I find out the cost of a medical procedure before I get it?

To find out the cost of a medical procedure before you get it, you should first contact your insurance provider to understand your coverage, deductibles, co-pays, and out-of-pocket maximums for the specific procedure. You can also ask your healthcare provider for an estimate. For more specific cost information based on CPT codes and your location, you can utilize tools like Payerprice, which offers a fee schedule lookup tool.

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

A CPT (Current Procedural Terminology) code is a five-digit code used by medical professionals to describe medical, surgical, and diagnostic services and procedures. It's important for understanding medical costs because these codes are standardized and used for billing and insurance claims, allowing you to accurately look up the cost of specific services.

How do I know what my insurance will cover?

To determine what your insurance will cover, you should contact your insurance provider directly. Refer to your policy documents, member portal, or call the customer service number on your insurance card. They can provide details on coverage for specific services, pre-authorization requirements, deductibles, co-pays, and co-insurance.

What should I do if I receive a medical bill that seems too high?

If you receive a medical bill that seems too high, first review it carefully for any errors. Compare it to your Explanation of Benefits (EOB) from your insurance company. Contact your healthcare provider's billing department to request an itemized bill and discuss the charges. You can also negotiate the bill or inquire about payment plans. For typical costs of services, you can use tools like Payerprice to compare the billed amount to standard rates in your area.

Where can I look up the typical cost of medical services in my area?

To look up the typical cost of medical services in your area, you can use online tools designed for price transparency. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to find typical costs for various medical services. You can also consult with your insurance provider, as some offer their own cost estimator tools.

CPT 25605 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.

Treat Fracture Radius Ulna, Closed Treatment Of Distal Radial Fracture Eg Colles Or Smith Type Or Epiphyseal Separation Includes Closed Treatment Of Fracture Of Ulnar Styloid When Performed With Manipulation

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Musculoskeletal System
Common Place of Service	23 - Emergency Room 11 - Office
Common Modifiers	None 54 - Surgical Care Only LT - Left side of body
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 25605
Medicaid Fee Schedule	View Medicaid rates for 25605

National average reimbursement for CPT 25605 by major payers:

$732.56

$739.72

$814.49

$890.31

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CPT 25605

5 of 25 sample ratesHigher to lower in this preview

Surgery Center Of Southwest Ohio, LLC, The Surgery Center Of Southwest Ohio
The Surgery Center Of Southwest
OHAmbulatory Surgical Clinic/CenterNPI 1568094399Tax ID 83-1673860
$4,482.00Published rate
Surgcenter Of Greater Jacksonville, LLC
Surgcenter Of Greater Jacksonville LLC
FLAmbulatory Surgical Clinic/CenterNPI 1104485440Tax ID 83-2504492
$893.00Published rate
Capital Orthopaedic Surgery Center, LLC, Capital Orthopaedic Surgery Center
Capital Orthopaedic Surgery Center LLC
MDAmbulatory Surgical Clinic/CenterNPI 1548896095Tax ID 83-3923443
$612.00Published rate
Cobblestone Surgery Center, Inc.
Cobblestone Surgery Center Inc
GAAmbulatory Surgical Clinic/CenterNPI 1902213432Tax ID 46-4241477
$429.00Published rate
Laplata Ambulatory Urological Center, L.L.C.
Laplata Ambulatory Urological Center LLC
MDAmbulatory Surgical Clinic/CenterNPI 1336310986Tax ID 26-2119326
$277.00Published rate

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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

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CPT 25605 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 25605 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 25605 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
25600-CPT	Moderate	Treat Fracture Radius Ulna, Closed Treatment Of Distal Radial Fracture Eg Colles Or Smith Type Or Epiphyseal Separation Includes Closed Treatment Of Fracture Of Ulnar Styloid When Performed Without Manipulation
25605-CPT	Moderate	Treat Fracture Radius Ulna, Closed Treatment Of Distal Radial Fracture Eg Colles Or Smith Type Or Epiphyseal Separation Includes Closed Treatment Of Fracture Of Ulnar Styloid When Performed With Manipulation
25606-CPT	Moderate	Stabilize A Broken Wrist, Immobilization Of A Broken Wrist Using Wire Inserted Through The Skin To Hold The Bone In Place. A Cast Is Applied.
25607-CPT	High	Open Treatmn Of Distal Radial Xtra-Articular Fract Or Epiphyseal, Open Treatment Of Distal Radial Extra-Articular Fracture Or Epiphyseal

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 25605 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.

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CPT 25605 Fee Schedule

Surgery Center Of Southwest Ohio, LLC, The Surgery Center Of Southwest Ohio

Surgcenter Of Greater Jacksonville, LLC

Capital Orthopaedic Surgery Center, LLC, Capital Orthopaedic Surgery Center

Cobblestone Surgery Center, Inc.

Laplata Ambulatory Urological Center, L.L.C.