Price Checker / CPT 26820

How much does Thumb Fusion With Graft cost?

CPT 26820 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $1,200–$2,450.

Fair price

$1,200–$2,450

What this should cost

With insurance

~$3,850

Typical out-of-pocket

Overcharged if over

$3,050

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About Thumb Fusion With Graft

CPT code 26820 refers to thumb fusion with graft (billing description: "Thumb fusion with graft"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $814 in a facility (hospital or surgery center) and $814 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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