Price Checker / CPT Q4125

How much does Arthroflex cost?

CPT Q4125 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 44x the fair price — among the most extreme markups. Dispute this.

Fair price

$190–$380

What this should cost

With insurance

~$2,600

Typical out-of-pocket

Overcharged if over

$480

Push back above this

The average hospital charge of $12,872 is $12,582 over the fair price (about 44x the fair rate).

What hospitals charge for Arthroflex

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

HospitalGross ChargeCash Ratevs Medicare
Crestwood Medical Center

HUNTSVILLE, AL

$56,367$11,83744193%
Acadian Medical Center

EUNICE, LA

$23,79318596%
Good Samaritan University Hospital

, NY

$22,362$22,36217472%
St. Catherine of Siena Hospital

SMITHTOWN, NY

$22,362$22,36217472%
Mon Health Medical Center

MORGANTOWN, WV

$19,789$9,89515450%
Ochsner St. Mary

MORGAN CITY, LA

$19,445$2,91715180%
Ochsner Abrom Kaplan Memorial Hospital

, LA

$18,978$8,92014813%
Methodist Medical Center of Oak Ridge

OAK RIDGE, TN

$18,000$9,00014044%
Roane County Medical Center

, TN

$18,000$9,00014044%
Morristown-Hamblen Hospital Association

MORRISTOWN, TN

$17,645$8,82313765%
Slidell Memorial Hospital- East Campus

Slidell, LA

$17,501$2,62513652%
Slidell Memorial Hospital - Main Campus

Slidell, LA

$17,501$2,62513652%
Ochsner Specialty Hospital

, MS

$10,695$10,6958304%
"St. John's Riverside Hospital Andrus Pavilion"

Yonkers, NY

$10,488$8,9158141%
"St. John's Riverside Hospital Boyce Thompson Pavilion"

Yonkers, NY

$10,488$8,9158141%

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About Arthroflex

CPT code Q4125 refers to arthroflex (billing description: "Arthroflex"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $127 in a facility (hospital or surgery center) and $127 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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