Price Checker / CPT 22812

CPT 22812Arthrd ant dfrm 8+ vrt sgm

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$1,971

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$1,971

What Medicare pays in a physician's office

Avg Hospital Charge

$88,013

Based on 41 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 22812

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
DOVER ER

DOVER, NH

5936%
PARKLAND MEDICAL CENTER

DERRY, NH

5936%
PLAISTOW EMERGENCY ROOM

PLAISTOW, NH

5936%
PORTSMOUTH AMUBLANCE

PORTSMOUTH, NH

5936%
PORTSMOUTH REGIONAL HOSPITAL

PORTSMOUTH, NH

5936%
SEABROOK ER

SEABROOK, NH

5936%
HCA FL BOYNTON BEACH ER

BOYNTON BEACH, FL

5735%
HCA FL CUTLER BAY ER

CUTLER BAY, FL

5735%
HCA FL DORAL ER

DORAL, FL

5735%
HCA FL PALM BEACH GARDENS ER

PALM BEACH GARDENS, FL

5735%
HCA FL PALM LAKES ER

HIALEAH, FL

5735%
HCA FL PLANTATION ER

PLANTATION, FL

5735%
HCA FL TOWN AND COUNTRY ER

MIAMI, FL

5735%
HCA FLORIDA AVENTURA HOSPITAL

AVENTURA, FL

5735%
HCA FLORIDA JFK HOSPITAL

ATLANTIS, FL

5735%

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About CPT 22812

CPT code 22812 refers to “Arthrd ant dfrm 8+ vrt sgm”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $1,971 in a facility (hospital or ambulatory surgery center) and $1,971in 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

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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