Price Checker / CPT 25607

How much does Optx Dst Rd Xartc Fx/epi Sep cost?

CPT 25607 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 22x the fair price — among the most extreme markups. Dispute this.

Fair price

$1,050–$2,100

What this should cost

With insurance

~$4,050

Typical out-of-pocket

Overcharged if over

$2,650

Push back above this

The average hospital charge of $35,688 is $34,088 over the fair price (about 22x the fair rate).

What hospitals charge for Optx Dst Rd Xartc Fx/epi Sep

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

HospitalGross ChargeCash Ratevs Medicare
Coryell Health

Gatesville, TX

$202,41528924%
AdventHealth Lenexa City Center

, KS

$88,785$44,39312631%
AdventHealth Overland Park

, KS

$88,785$44,39312631%
AdventHealth Shawnee Mission

SHAWNEE MISSION, KS

$88,785$44,39312631%
Valley View Medical Center

FORT MOHAVE, AZ

$57,1658097%
Person Memorial Hospital

ROXBORO, NC

$53,2087529%
Highpoint Health - Sewanee with Ascension Saint Thomas

, TN

$47,2906681%
Highpoint Health - Winchester with Ascension Saint Thomas

, TN

$47,2906681%
Fauquier Health

, VA

$32,8704613%
Southern Tennessee Regional Health System - Pulaski

PULASKI, TN

$31,9514481%
Castleview Hospital

PRICE, UT

$31,7194448%
Troy Regional Medical Center

TROY, AL

$31,0004345%
DEFIANCE HOSPITAL

Defiance, OH

$31,4853751%
Jackson Park Hospital

Chicago, IL

$22,8453176%
Goodall-Witcher Hospital

CLIFTON, TX

$7463155%

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About Optx Dst Rd Xartc Fx/epi Sep

CPT code 25607 refers to optx dst rd xartc fx/epi sep (billing description: "Optx dst rd xartc fx/epi sep"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $697 in a facility (hospital or surgery center) and $697 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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