FDFairDoctor.org
Home/Procedures/Incision of Tendon of Forearm and or Wrist
CPT 25290Medical Service

Incision of Tendon of Forearm and or Wrist

Incision of tendon of forearm and/or wrist, open procedure. Clinical pricing breakdown and utilization metrics across 37 practicing doctors nationwide.

$1884.00
Peer Median Charge
Gross billed rate
$239.04
Standard Baseline
Customary allowable
7.9x
National Markup
Charge vs baseline
37
Active Physicians
Billing this code
Planning care or already received a bill for CPT 25290?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $1884.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $239.04 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 25290 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"