Price Checker / CPT 23405
How much does Incision Of Tendon & Muscle cost?
CPT 23405 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 13x the fair price — among the most extreme markups. Dispute this.
Fair price
$860–$1,700
What this should cost
With insurance
~$3,900
Typical out-of-pocket
Overcharged if over
$2,150
Push back above this
The average hospital charge of $16,219 is $14,919 over the fair price (about 13x the fair rate).
What hospitals charge for Incision Of Tendon & Muscle
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Haskell Regional Hospital , OK | $23,928 | $23,928 | 4065% |
| Monroe Regional Hospital ABERDEEN, MS | $23,928 | $23,928 | 4065% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX | — | — | 3419% |
| Jefferson Moss-Magee Rehabilitation Hospital – Center City Philadelphia, PA | $19,844 | — | 3354% |
| LifeBrite Community Hospital of Stokes DANBURY, NC | $7,828 | — | 1122% |
| Ashley County Medical Center Crossett, AR | $1,568 | — | 1071% |
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 Incision Of Tendon & Muscle
CPT code 23405 refers to incision of tendon & muscle (billing description: "Incision of tendon & muscle"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $575 in a facility (hospital or surgery center) and $575 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.