Price Checker / CPT 20938
How much does Sp Bone Agrft Struct Add-on cost?
CPT 20938 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 548x the fair price — among the most extreme markups. Dispute this.
Fair price
$240–$490
What this should cost
With insurance
~$2,800
Typical out-of-pocket
Overcharged if over
$610
Push back above this
The average hospital charge of $202,715 is $202,345 over the fair price (about 548x the fair rate).
What hospitals charge for Sp Bone Agrft Struct Add-on
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| The Orthopedic Hospital Fort Wayne, IN | $470,315 | — | 287854% |
| Centrastate Medical Center FREEHOLD, NJ | $68,915 | $17,433 | 42094% |
| Chilton Medical Center POMPTON PLAINS, NJ | $68,915 | $17,433 | 42094% |
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 Sp Bone Agrft Struct Add-on
CPT code 20938 refers to sp bone agrft struct add-on (billing description: "Sp bone agrft struct add-on"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $163 in a facility (hospital or surgery center) and $163 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.