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Rhode Island

Cost of a Carpal Tunnel Surgery Visit
in Rhode Island

Reviewed by Momentary Medical Group West PC

Rhode Island's concentrated healthcare market, anchored by major systems like Lifespan and Care New England, creates unique pricing dynamics for Carpal Tunnel Surgery procedures across the Ocean State. Patients typically pay between $364 and $1957 for carpal tunnel surgery, with a median cost of $877 based on negotiated insurance rates. Rhode Island maintains 58 active Carpal Tunnel Surgery providers serving the state's population, offering patients multiple options for treatment within the state's compact geography.

Average

$1,066

Median

$877

Lowest

$364

Highest

$1,957

Providers

58

National avg: $758Rhode Island: $1,066

41% above national average

Compare Similar Procedures

How does carpal tunnel surgery compare to related procedures in Rhode Island?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,136$2,323$6,05157
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,978$6,06074
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$448$960$2,13558
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$452$895$2,41058
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$91$1,006$1,92166
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$884$1,75279
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,277$3,20160
Septoplasty

Nasal septum repair

30520$555$1,052$2,16056
Tonsillectomy

Tonsillectomy, primary or secondary

42820$239$441$74258
Inguinal Hernia Repair

Inguinal hernia repair

49505$440$858$1,52157
Mastectomy

Partial or simple mastectomy

19301$509$1,087$2,64261

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.

Why Carpal Tunnel Surgery Visit Costs Vary Across Rhode Island

Rhode Island's healthcare costs run approximately 13% above national averages, driven by the state's concentrated market and limited geographic competition among major health systems. The Ocean State's small size creates unique dynamics where most residents can access Providence's medical district within 45 minutes, reducing rural access barriers seen in larger states.

Urban vs. Rural Provider Availability

Providence County concentrates most orthopedic specialists, while Washington and Newport counties have fewer options, though Rhode Island's compact size minimizes true rural access issues. Patients in Westerly or Block Island may travel to Providence or Connecticut for specialized hand surgery, potentially affecting costs and scheduling flexibility.

Facility Type and Overhead Costs

Hospital-based outpatient centers affiliated with Lifespan or Care New England typically charge higher facility fees than independent ambulatory surgery centers. Rhode Island's certificate-of-need regulations historically limited surgery center development, though recent policy changes have encouraged more competitive options in suburban markets like Warwick and Cranston.

Insurance Market Competition in Rhode Island

The state's insurance market remains relatively consolidated with Blue Cross Blue Shield of Rhode Island holding significant market share alongside UnitedHealthcare and Tufts Health Plan. Limited insurer competition can result in higher negotiated rates compared to states with more robust insurance marketplaces, though regulatory oversight helps maintain some pricing discipline.

Physician Supply and Demand in Rhode Island

With 58 active providers statewide, Rhode Island maintains adequate orthopedic and hand surgery capacity relative to its population of just over one million residents. The state's proximity to Boston medical centers creates some specialist outmigration for complex cases, though routine carpal tunnel procedures are well-served locally with typical wait times of 2-4 weeks for non-urgent cases.

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 Rhode Island

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

Uninsured patients in Rhode Island typically pay between $364 and $1957 for carpal tunnel surgery, with a median cost of $877. These rates reflect negotiated insurance prices, though many providers offer cash-pay discounts of 20-40% for self-pay patients. Independent surgery centers often provide more affordable options than hospital-based facilities in Providence.

Does Rhode Island Medicaid cover Carpal Tunnel Surgery visits?

Yes, Rhode Island expanded Medicaid covers carpal tunnel surgery when medically necessary and conservative treatments have been tried first. Coverage typically requires documentation of functional impairment and may need prior authorization. The state's Medicaid program generally covers both the surgical procedure and necessary follow-up visits.

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

Compare costs across Providence's hospital systems versus independent surgery centers in suburban areas like Warwick or Cranston. Ask about cash-pay discounts, which can reduce costs by 20-40% for uninsured patients. Community health centers and some orthopedic practices offer sliding-scale fees based on income.

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

Initial consultations for carpal tunnel evaluation typically cost $364-$1957 depending on the complexity of the visit and diagnostic tests performed. Follow-up visits after surgery generally cost less, usually in the $200-$400 range. The significant cost difference reflects the time needed for comprehensive evaluation, nerve testing, and surgical planning during the initial visit.

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

Yes, both HSA and FSA funds can be used for medically necessary carpal tunnel surgery and related consultations. These accounts cover surgeon fees, facility costs, anesthesia, and post-operative care. Keep all receipts and documentation, as the IRS requires proof that expenses are for qualified medical treatment.

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

Telemedicine consultations for carpal tunnel symptoms typically cost 30-50% less than in-person visits, though physical examination is usually required before surgery. Rhode Island providers increasingly offer virtual follow-up visits after surgery, reducing travel time and costs. However, initial diagnosis and pre-surgical evaluation generally require hands-on examination and cannot be completed entirely through telehealth.

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