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Ohio

Cost of a Carpal Tunnel Surgery Visit
in Ohio

Reviewed by Momentary Medical Group West PC

Ohio's healthcare costs run approximately 2% below the national average, benefiting from moderate competition among major insurers like Medical Mutual, Anthem, and UnitedHealthcare. Carpal Tunnel Surgery patients in Ohio typically pay between $268 and $797 for their procedure, with a median cost of $453 based on actual negotiated rates from insurance companies. The state maintains over 3,200 active providers offering carpal tunnel procedures across its metropolitan and rural regions, giving patients substantial options when browsing providers throughout Ohio.

Average

$506

Median

$453

Lowest

$268

Highest

$797

Providers

3,211

National avg: $758Ohio: $506

33% below national average

Compare Similar Procedures

How does carpal tunnel surgery compare to related procedures in Ohio?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$848$1,471$2,4913,206
Hip Replacement

Total hip replacement (arthroplasty)

27130$85$1,415$2,4913,692
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$335$613$1,0873,282
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$338$585$9833,234
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$85$667$1,1854,653
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$355$660$1,1854,341
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$917$1,5973,541
Septoplasty

Nasal septum repair

30520$357$592$1,1163,245
Tonsillectomy

Tonsillectomy, primary or secondary

42820$85$297$5593,518
Inguinal Hernia Repair

Inguinal hernia repair

49505$328$547$1,0393,201
Mastectomy

Partial or simple mastectomy

19301$303$598$1,1753,266

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 64721Neuroplasty and/or transposition; median nerve at carpal tunnel). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 64721 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 64721 (Neuroplasty and/or transposition; median nerve at carpal tunnel), as mandated by the CMS Price Transparency Rule.

What CPT 64721 covers: the provider's professional fee for carpal tunnel surgery. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Ohio

These hospitals in Ohio are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
93% would recommend661 patient surveys
5/5
93% would recommend252 patient surveys
5/5
87% would recommend209 patient surveys
5/5
85% would recommend414 patient surveys
5/5
84% would recommend141 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Carpal Tunnel Surgery Visit Costs Vary Across Ohio

Ohio's healthcare costs remain approximately 2% below national averages due to competitive insurer markets and moderate cost of living compared to coastal states. The state's mix of major metropolitan areas and rural communities creates distinct pricing patterns for surgical procedures like carpal tunnel release.

Urban vs. Rural Provider Availability

Ohio's major metropolitan areas including Cleveland, Columbus, and Cincinnati concentrate most hand surgery specialists, while rural counties often require patients to travel 60+ miles for specialized care. This geographic disparity creates access challenges for rural residents but can result in lower costs when procedures are performed at community hospitals rather than major academic medical centers. Wait times for consultation typically remain shorter in urban areas due to higher surgeon density.

Facility Type and Overhead Costs

Hospital-based outpatient departments at Cleveland Clinic, Ohio State University Wexner Medical Center, and Cincinnati Children's Hospital command premium rates due to their academic affiliations and complex case capabilities. Independent ambulatory surgery centers throughout Ohio offer identical carpal tunnel procedures at 30-50% lower costs by maintaining streamlined operations and lower overhead expenses. Community hospitals often price competitively between these two extremes while maintaining quality surgical outcomes.

Insurance Market Competition in Ohio

Medical Mutual of Ohio, Anthem, and UnitedHealthcare maintain competitive market positions that prevent any single insurer from dominating negotiated rate discussions with providers. This multi-payer environment creates moderate pricing pressure compared to states with less insurer competition. Ohio's regulatory environment supports this competitive balance without imposing restrictive rate controls that might limit provider participation.

Physician Supply and Demand in Ohio

Ohio maintains over 3,200 providers capable of performing carpal tunnel procedures, indicating adequate supply relative to the state's population of 11.8 million residents. This healthy provider-to-patient ratio helps contain costs and reduces wait times for consultations compared to states with surgeon shortages. The presence of multiple medical schools including Ohio State, Case Western, and University of Cincinnati continues supplying newly trained surgeons to meet ongoing demand.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Carpal Tunnel Surgery Costs in Ohio

What is the average cost of a Carpal Tunnel Surgery visit in Ohio without insurance?

Uninsured patients in Ohio typically pay between $268 and $797 for carpal tunnel surgery, with a median cost of $453 based on actual negotiated rates from insurance companies. These prices represent what insurers have agreed to pay providers, though cash-pay patients may negotiate different rates. Many Ohio surgical practices offer self-pay discounts of 20-40% for patients paying upfront rather than billing insurance companies.

Does Ohio Medicaid cover Carpal Tunnel Surgery visits?

Yes, Ohio Medicaid covers medically necessary carpal tunnel surgery since the state expanded Medicaid eligibility in 2014. Coverage typically requires documentation of failed conservative treatments like splinting or steroid injections before approving surgical procedures. Patients should verify their surgeon participates in Ohio Medicaid and obtain any required prior authorizations before scheduling surgery.

How do I find an affordable Carpal Tunnel Surgery near me in Ohio?

Compare costs between hospital-based outpatient departments and independent ambulatory surgery centers, as the latter often charge 30-50% less for identical procedures. Ask about self-pay discounts if you're uninsured, and consider community health centers that offer sliding-scale pricing based on income. Momentary Lab helps Ohio patients instantly compare costs across thousands of providers while checking insurance coverage.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial carpal tunnel surgery consultations typically cost more than follow-up visits due to comprehensive evaluation requirements including detailed history, physical examination, and treatment planning. Follow-up visits focus on wound healing, symptom improvement, and therapy progression, requiring less time and complexity. Most insurance plans apply the same specialist copay to both visit types, though the underlying facility charges differ significantly.

Can I use an HSA or FSA to pay for a Carpal Tunnel Surgery visit in Ohio?

Yes, both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can pay for carpal tunnel surgery consultations and procedures as qualified medical expenses. These tax-advantaged accounts also cover related costs like diagnostic testing, physical therapy, and prescription medications prescribed for your condition. Keep all receipts and documentation for tax purposes and potential account auditing.

How does telemedicine affect the cost of seeing a Carpal Tunnel Surgery in Ohio?

Telemedicine consultations typically cost 40-60% less than in-person visits, though carpal tunnel evaluation requires physical examination of hand function and sensation that limits virtual assessment effectiveness. Ohio surgeons may use telehealth for initial consultations or post-operative follow-ups, but definitive diagnosis and surgical planning usually require in-person evaluation. Insurance coverage for telemedicine visits varies by plan and may have different copay structures than office visits.

Click a state to compare costs

Average Visit Cost

$274
$2,063

Office visit (CPT 64721)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $85$5,357
$2,063
2North Dakota
Range: $319$2,591
$1,168
3Rhode Island
Range: $364$1,957
$1,066
4Massachusetts
Range: $338$1,957
$1,005
5Minnesota
Range: $358$1,930
$1,003
6Delaware
Range: $354$1,957
$974
7Georgia
Range: $344$1,930
$973
8West Virginia
Range: $342$2,006
$972
9New York
Range: $320$1,963
$969
10New Jersey
Range: $265$2,119
$968
11Connecticut
Range: $311$1,957
$962
12Alaska
Range: $364$1,957
$961
13Kentucky
Range: $340$1,957
$954
14Pennsylvania
Range: $317$1,957
$937
15District of Columbia
Range: $328$1,686
$917
16Oregon
Range: $90$1,930
$888
17Wyoming
Range: $519$1,358
$865
18Nebraska
Range: $513$1,068
$840
19New Hampshire
Range: $429$1,267
$838
20Washington
Range: $490$1,221
$793
21Iowa
Range: $361$1,068
$787
22California
Range: $80$1,930
$757
23Maine
Range: $519$888
$753
24Utah
Range: $265$988
$728
25North Carolina
Range: $349$1,241
$727
26Colorado
Range: $364$1,110
$701
27New Mexico
Range: $385$1,031
$683
28Illinois
Range: $372$1,070
$679
29Hawaii
Range: $358$1,040
$667
30South Dakota
Range: $296$1,068
$662
31Indiana
Range: $291$1,070
$640
32Vermont
Range: $338$1,053
$637
33Michigan
Range: $359$1,068
$628
34South Carolina
Range: $334$1,030
$610
35Louisiana
Range: $294$979
$593
36Alabama
Range: $294$910
$590
37Missouri
Range: $402$726
$581
38Idaho
Range: $90$1,031
$567
39Virginia
Range: $309$920
$564
40Arkansas
Range: $294$790
$560
41Maryland
Range: $318$920
$552
42Tennessee
Range: $332$804
$546
43Oklahoma
Range: $345$823
$531
44Kansas
Range: $402$670
$526
45Mississippi
Range: $332$826
$520
46Montana
Range: $90$979
$513
47Nevada
Range: $352$746
$512
48Ohio
Range: $268$797
$506
49Texas
Range: $90$895
$484
50Arizona
Range: $352$729
$482
51Florida
Range: $35$733
$274
Carpal Tunnel Surgery in Other States