Price Checker / CPT 25609
How much does Optx Dst Rd Xart Fx/ep Sep3+ cost?
CPT 25609 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 5.4x the fair price. This is well above fair — push back or dispute it.
Fair price
$4,500–$5,300
What this should cost
With insurance
~$4,400
Typical out-of-pocket
Overcharged if over
$6,650
Push back above this
The average hospital charge of $26,218 is $21,318 over the fair price (about 5.4x the fair rate).
What hospitals charge for Optx Dst Rd Xart Fx/ep Sep3+
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Person Memorial Hospital ROXBORO, NC | $82,890 | — | 8460% |
| Texas Health Huguley Hospital Burleson, TX | $91,475 | — | 7902% |
| Valley View Medical Center FORT MOHAVE, AZ | $58,141 | — | 5905% |
| Starr Regional Medical Center , TN | $55,530 | — | 5635% |
| Memorial Medical Center PORT LAVACA, NM | $52,217 | — | 5293% |
| WILLARD HOSPITAL Willard, OH | $54,075 | — | 4732% |
| Clark Regional Medical Center WINCHESTER, KY | $46,051 | — | 4656% |
| Jackson Purchase Medical Center MAYFIELD, KY | $42,228 | — | 4261% |
| HSHS St. Joseph's Hospital , IL | $13,041 | — | 3363% |
| Northern Light Sebasticook Valley Hospital Pittsfield, ME | $36,192 | — | 3264% |
| Southern Tennessee Regional Health System - Pulaski PULASKI, TN | $32,246 | — | 3230% |
| Rutherford Regional Health System , NC | $29,673 | — | 2964% |
| Castleview Hospital PRICE, UT | $28,567 | — | 2850% |
| Highpoint Health - Riverview with Ascension Saint Thomas , TN | $27,713 | — | 2762% |
| DEFIANCE HOSPITAL Defiance, OH | $31,333 | — | 2660% |
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 Optx Dst Rd Xart Fx/ep Sep3+
CPT code 25609 refers to optx dst rd xart fx/ep sep3+ (billing description: "Optx dst rd xart fx/ep sep3+"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $968 in a facility (hospital or surgery center) and $968 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.