How can I find out the estimated cost of a medical procedure or service before I receive it?

Healthcare costs can vary significantly based on factors like your location, the specific provider, your insurance plan, and whether the provider is in-network. For specific cost estimates based on CPT codes and your location, it is recommended to use tools designed for price transparency. Payerprice offers a fee schedule lookup tool where you can search with CPT codes and specific locations to get an idea of potential costs.

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

CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to health insurance payers. They are crucial for understanding healthcare costs because they precisely identify the service rendered, which directly impacts how the service is billed and reimbursed. When looking up prices, knowing the CPT code helps you get the most accurate estimate for a specific procedure.

How can I understand my medical bill and ensure I'm being charged fairly?

Understanding medical bills can be complex. You should always request an itemized bill from your provider, which breaks down all services and charges. Compare this with your Explanation of Benefits (EOB) from your insurance company. If you suspect an error or want to verify the fair market price for a specific service on your bill, you can use tools like Payerprice. Their fee schedule lookup allows you to search by CPT code and location to compare the billed amount with typical rates.

What's the difference between a co-pay, deductible, and co-insurance?

These are common terms in health insurance that refer to different ways you share the cost of healthcare with your insurer: * **Co-pay (or Copayment):** A fixed amount you pay for a covered healthcare service after you've paid your deductible. For example, you might pay $20 for a doctor's visit. * **Deductible:** The amount you must pay out-of-pocket for covered healthcare services before your insurance plan starts to pay. For example, if your deductible is $1,000, you pay the first $1,000 of your medical costs. * **Co-insurance:** Your share of the costs of a covered healthcare service, calculated as a percentage of the allowed amount for the service. For example, if your plan pays 80% for a service, your co-insurance is 20% after your deductible has been met.

Why do healthcare prices vary so much, even for the same service in the same city?

Healthcare prices can vary widely due to several factors. These include different negotiated rates between insurance companies and providers, whether the facility is a hospital or an independent clinic, the specific location and regional cost of living, the provider's reputation or specialty, and whether the service is 'in-network' or 'out-of-network'. Even within the same city, different providers can have significantly different fee schedules. To compare how prices might differ based on location and provider for a specific service, you can utilize tools like Payerprice to search fee schedules using CPT codes and specific locations.

CPT 64718 Fee Schedule

Q: What factors affect fee schedules?

Fee schedules are affected by several factors: Medicare & Medicaid Rates, which are government-set reimbursement amounts; Private Insurance Rates, which are negotiated rates between providers and insurance companies; Geographic Location, where costs may be higher in urban areas; and Provider Type, as hospital providers may have different rates than private practice.

Last Verified: October 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.

Elbow Nerve Surgery, Surgery On The Elbow To Remove Tissue From Around A Nerve (Ulnar Nerve). The Procedure Reduces Pain And Pressure On The Nerve.

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Nervous 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 64718
Medicaid Fee Schedule	View Medicaid rates for 64718

National average reimbursement for CPT 64718 by major payers:

$800.37

$794.37

$860.46

$982.35

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CPT 64718

5 of 25 sample ratesHigher to lower in this preview

Emory Ambulatory Surgery Center At Dunwoody, LLC
Emory Ambulatory Surgery Center At Dunwoody LLC
GAAmbulatory Surgical Clinic/CenterNPI 1568884104Tax ID 46-4115055
$4,263.00Published rate
Pacific Endoscopy Center LLC
Pacific Endoscopy Center, LLC
HIAmbulatory Surgical Clinic/CenterNPI 1558753095Tax ID 20-3905706
$2,388.00Published rate
Healthone Ridge View Endoscopy Center, LLC, South Denver Endoscopy Center
COAmbulatory Surgical Clinic/CenterNPI 1871912485Tax ID 80-0688043
$2,119.00Published rate
Fresenius Vascular Care Cincinnati Asc LLC, Azura Surgery Center Cincinnati
Fresenius Vascular Care Cincinnati Asc LLC
OHAmbulatory Surgical Clinic/CenterNPI 1437691177Tax ID 81-4225843
$1,300.00Published rate
The Asc At Waugh Chapel
MDAmbulatory Surgical Clinic/CenterNPI 1386885556Tax ID 26-3869837
$494.00Published 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 64718 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64718 code is part of the Surgery services used for Surgical Procedures on the Nervous 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 64718 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
64704-CPT	Moderate	Neurolysis Handor Foot
64708-CPT	Moderate	Neuroplst Major Periphral Nrve Arm Or Leg Open; Other Than Spec, Neuroplasty Major Peripheral Nerve Arm Or Leg Open; Other Than Spec
64712-CPT	Moderate	Neuroplst Major Periphral Nrve Arm Or Leg Open; Sciatic Nrve, Neuroplasty Major Peripheral Nerve Arm Or Leg Open; Sciatic Nerve
64718-CPT	Moderate	Elbow Nerve Surgery, Surgery On The Elbow To Remove Tissue From Around A Nerve (Ulnar Nerve). The Procedure Reduces Pain And Pressure On The Nerve.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64718. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64718 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 64718 Fee Schedule

Emory Ambulatory Surgery Center At Dunwoody, LLC

Pacific Endoscopy Center LLC

Healthone Ridge View Endoscopy Center, LLC, South Denver Endoscopy Center

Fresenius Vascular Care Cincinnati Asc LLC, Azura Surgery Center Cincinnati

The Asc At Waugh Chapel