Price Checker / CPT 22804
How much does Arthrd Pst Dfrm 13+ Vrt Sgm cost?
CPT 22804 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 48x the fair price — among the most extreme markups. Dispute this.
Fair price
$2,650
What this should cost
With insurance
~$4,850
Typical out-of-pocket
Overcharged if over
$3,300
Push back above this
The average hospital charge of $126,593 is $123,943 over the fair price (about 48x the fair rate).
What hospitals charge for Arthrd Pst Dfrm 13+ Vrt Sgm
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| University of Texas Medical Branch Galveston, TX | $332,443 | — | 14858% |
| UTMB Health Angleton Danbury Hospital Galveston, TX | $332,443 | — | 14858% |
| UTMB Health Clear Lake Hospital Galveston, TX | $332,443 | — | 14858% |
| UTMB Health League City Hospital Galveston, TX | $332,443 | — | 14858% |
| DOVER ER DOVER, NH | — | — | 5253% |
| PARKLAND MEDICAL CENTER DERRY, NH | — | — | 5253% |
| PLAISTOW EMERGENCY ROOM PLAISTOW, NH | — | — | 5253% |
| PORTSMOUTH AMUBLANCE PORTSMOUTH, NH | — | — | 5253% |
| PORTSMOUTH REGIONAL HOSPITAL PORTSMOUTH, NH | — | — | 5253% |
| SEABROOK ER SEABROOK, NH | — | — | 5253% |
| HCA FL BOYNTON BEACH ER BOYNTON BEACH, FL | — | — | 5074% |
| HCA FL CUTLER BAY ER CUTLER BAY, FL | — | — | 5074% |
| HCA FL DORAL ER DORAL, FL | — | — | 5074% |
| HCA FL PALM BEACH GARDENS ER PALM BEACH GARDENS, FL | — | — | 5074% |
| HCA FL PALM LAKES ER HIALEAH, FL | — | — | 5074% |
Were you billed for this procedure?
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About Arthrd Pst Dfrm 13+ Vrt Sgm
CPT code 22804 refers to arthrd pst dfrm 13+ vrt sgm (billing description: "Arthrd pst dfrm 13+ vrt sgm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $2,223 in a facility (hospital or surgery center) and $2,223 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.