Price Checker / CPT 22586
CPT 22586 — Arthrd pre-sac ntrbdy l5-s1
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$2,008
What Medicare pays in a hospital/ASC setting
$2,008
What Medicare pays in a physician's office
$54,556
Based on 17 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 22586
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| ER AT DAVIE NICEVILLE, FL | — | — | 4373% |
| HCA FL DESTIN ER DESTIN, FL | — | — | 4373% |
| HCA FL NAVARRE ER NAVARRE, FL | — | — | 4373% |
| HCA FLORIDA TWIN CITIES HOSPITAL NICEVILLE, FL | — | — | 4373% |
| DOVER ER DOVER, NH | — | — | 3132% |
| PORTSMOUTH AMUBLANCE PORTSMOUTH, NH | — | — | 3132% |
| PORTSMOUTH REGIONAL HOSPITAL PORTSMOUTH, NH | — | — | 3132% |
| SEABROOK ER SEABROOK, NH | — | — | 3132% |
| PARKRIDGE VALLEY HOSPITAL ADULT & SENIOR CAMPUS CHATTANOOGA, TN | — | — | 2586% |
| PARKRIDGE VALLEY HOSPITAL CHATTANOOGA, TN | — | — | 2586% |
| PARKRIDGE VALLEY HOSPITAL CHILD & ADOLESCENT CAMPUS CHATTANOOGA, TN | — | — | 2586% |
| PINEWOOD SPRINGS Columbia, TN | — | — | 2586% |
| Tattnall Hospital , GA | $17,443 | — | 2111% |
| McLeod Health Carolina Forest , SC | — | — | 933% |
| McLeod Health Seacoast , SC | — | — | 933% |
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About CPT 22586
CPT code 22586 refers to “Arthrd pre-sac ntrbdy l5-s1”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $2,008 in a facility (hospital or ambulatory surgery center) and $2,008in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.