Price Checker / CPT 20816
How much does Replantation Digit Complete cost?
CPT 20816 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about above the fair price. You have grounds to ask for a reduction.
Fair price
$5,050–$5,950
What this should cost
With insurance
~$4,000
Typical out-of-pocket
Overcharged if over
$7,450
Push back above this
The average hospital charge of $8,563 is $3,063 over the fair price.
What hospitals charge for Replantation Digit Complete
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Mon Health Preston Memorial Hospital , WV | $10,101 | $5,051 | 450% |
| Coteau des Prairies Health Care System Sisseton, SD | $7,024 | — | 271% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Replantation Digit Complete
CPT code 20816 refers to replantation digit complete (billing description: "Replantation digit complete"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,836 in a facility (hospital or surgery center) and $1,836 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.