Price Checker / CPT 25260

How much does Repair Forearm Tendon/muscle cost?

CPT 25260 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 15x the fair price — among the most extreme markups. Dispute this.

Fair price

$900–$1,800

What this should cost

With insurance

~$3,000

Typical out-of-pocket

Overcharged if over

$2,250

Push back above this

The average hospital charge of $20,274 is $18,924 over the fair price (about 15x the fair rate).

What hospitals charge for Repair Forearm Tendon/muscle

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

HospitalGross ChargeCash Ratevs Medicare
ST ELIZABETH BOARDMAN HOSPITAL

Youngstown, OH

$131,4808131%
Troy Regional Medical Center

TROY, AL

$15,000$3,4222403%
Conemaugh Miners Medical Center

HASTINGS, PA

$9,2731448%
Ochsner Scott Regional

Morton, MS

$9,0841416%
Liberty Dayton Regional Medical Center

Liberty, TX

$9,4171393%
Howard Memorial Hospital

NASHVILLE, AR

$7,1601095%
Watertown Regional Medical Center

Watertown, WI

$6,6571011%
Winner Regional Health

Winner, SD

$6,112869%
Mountrail County Medical Center

Stanley, ND

$4,284615%
Madison Medical Center

Fredericktown, MO

$4,274431%

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About Repair Forearm Tendon/muscle

CPT code 25260 refers to repair forearm tendon/muscle (billing description: "Repair forearm tendon/muscle"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $599 in a facility (hospital or surgery center) and $599 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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