What do doctors typically charge for Computer-assisted Surgery for Muscle and Bone Procedure?

The nationwide median physician charge for Computer-assisted Surgery for Muscle and Bone Procedure (CPT 20985) is $456.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 20985?

The standard insurance baseline reimbursement rate is $140.85. This represents the customary allowable amount established across standard fee schedules.

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CPT 20985Medical Service

Computer-assisted Surgery for Muscle and Bone Procedure

Q: What is Computer-assisted Surgery for Muscle and Bone Procedure (CPT 20985)?

Computer-assisted surgery for muscle and bone procedure. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

Computer-assisted surgery for muscle and bone procedure. Clinical pricing breakdown and utilization metrics across 1,390 practicing doctors nationwide.

$456.00

Peer Median Charge

Gross billed rate

$140.85

Standard Baseline

Customary allowable

3.2x

National Markup

Charge vs baseline

1,390

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $456.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $140.85 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 20985 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"