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Procedure price report · Other fracture and dislocation procedure

Setting a broken upper arm near the shoulder

CPT 23605the billing code this page is about

Nonsurgical realignment of a fracture at the top of the upper arm bone by manipulating it back into position, without an incision.

Hospitals typically charge $1,651 cash for this outpatient procedure — the median across 1,789 hospitals that filed a usable cash price; the average of the middle 60% is $1,730. Most fall between $765 and $3,167 (20th–80th percentile).

Hospitals
1,789
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,789 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$536$875$1,651$2,856$4,785

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($536 vs $4,785).

How the prices are spread

$382 – $503: 69 hospitals$382$503 – $662: 132 hospitals$662 – $871: 156 hospitals$662$871 – $1,146: 158 hospitals$1,146 – $1,508: 213 hospitals$1,146$1,508 – $1,984: 246 hospitals$1,984 – $2,611: 227 hospitals$1,984$2,611 – $3,435: 164 hospitals$3,435 – $4,520: 134 hospitals$3,435$4,520 – $5,948: 114 hospitals$4,520median $1,651price bands are equal on a log scale
Hospitals per price band (1,613 of 1,789 — the bands cover the 5th to 95th percentile)
FromToHospitals
$382$50369
$503$662132
$662$871156
$871$1,146158
$1,146$1,508213
$1,508$1,984246
$1,984$2,611227
$2,611$3,435164
$3,435$4,520134
$4,520$5,948114

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,651
Cash as a multiple of Medicare1.00×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,651.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,009 across 19 hospitalsME$1,009Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $645 across 13 hospitalsNH$645Washington: median $2,314 across 53 hospitalsWA$2,314Idaho: median $1,446 across 18 hospitalsID$1,446Montana: median $908 across 17 hospitalsMT$908North Dakota: median $1,648 across 17 hospitalsND$1,648Minnesota: median $1,947 across 57 hospitalsMN$1,947Illinois: median $1,785 across 71 hospitalsIL$1,785Wisconsin: median $1,270 across 60 hospitalsWI$1,270Michigan: median $1,175 across 58 hospitalsMI$1,175New York: median $2,606 across 78 hospitalsNY$2,606Massachusetts: median $2,001 across 36 hospitalsMA$2,001Oregon: median $1,473 across 44 hospitalsOR$1,473Nevada: median $1,723 across 12 hospitalsNV$1,723Wyoming: median $1,205 across 12 hospitalsWY$1,205South Dakota: median $1,198 across 11 hospitalsSD$1,198Iowa: median $1,146 across 39 hospitalsIA$1,146Indiana: median $1,069 across 36 hospitalsIN$1,069Ohio: median $2,263 across 71 hospitalsOH$2,263Pennsylvania: median $2,055 across 81 hospitalsPA$2,055New Jersey: median $2,453 across 42 hospitalsNJ$2,453Connecticut: median $2,370 across 14 hospitalsCT$2,370Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,356 across 122 hospitalsCA$2,356Utah: median $891 across 26 hospitalsUT$891Colorado: median $1,316 across 34 hospitalsCO$1,316Nebraska: median $1,037 across 32 hospitalsNE$1,037Missouri: median $1,351 across 37 hospitalsMO$1,351Kentucky: median $1,094 across 27 hospitalsKY$1,094West Virginia: median $1,132 across 24 hospitalsWV$1,132Virginia: median $1,196 across 49 hospitalsVA$1,196Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $554 across 17 hospitalsAZ$554New Mexico: median $1,852 across 16 hospitalsNM$1,852Kansas: median $1,514 across 29 hospitalsKS$1,514Arkansas: median $876 across 15 hospitalsAR$876Tennessee: median $629 across 31 hospitalsTN$629North Carolina: median $2,401 across 34 hospitalsNC$2,401South Carolina: median $1,484 across 40 hospitalsSC$1,484Oklahoma: median $1,061 across 38 hospitalsOK$1,061Louisiana: median $700 across 28 hospitalsLA$700Mississippi: median $797 across 33 hospitalsMS$797Alabama: median $1,172 across 16 hospitalsAL$1,172Georgia: median $2,363 across 47 hospitalsGA$2,363Hawaii: median $3,821 across 13 hospitalsHI$3,821Texas: median $1,691 across 128 hospitalsTX$1,691Florida: median $3,176 across 64 hospitalsFL$3,176
Cash price by state, most expensive first. National median $1,651. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Hawaii HI13$3,821+131%$2,495 – $4,648
Florida FL64$3,176+92%$716 – $5,571
New York NY78$2,606+58%$1,275 – $4,864
New Jersey NJ42$2,453+49%$1,864 – $5,741
North Carolina NC34$2,401+45%$783 – $3,038
Connecticut CT14$2,370+44%$1,246 – $3,754
Georgia GA47$2,363+43%$1,230 – $9,945
California CA122$2,356+43%$1,620 – $5,701
Washington WA53$2,314+40%$894 – $3,656
Ohio OH71$2,263+37%$926 – $4,785
Pennsylvania PA81$2,055+24%$579 – $3,135
Massachusetts MA36$2,001+21%$1,272 – $4,806
Minnesota MN57$1,947+18%$904 – $2,455
New Mexico NM16$1,852+12%$1,267 – $4,509
Illinois IL71$1,785+8%$890 – $3,094
Nevada NV12$1,723+4%$869 – $2,064
Texas TX128$1,691+2%$748 – $2,856
North Dakota ND17$1,6480%$803 – $2,249
Kansas KS29$1,514−8%$526 – $2,374
South Carolina SC40$1,484−10%$1,138 – $3,590
Oregon OR44$1,473−11%$817 – $2,532
Idaho ID18$1,446−12%$785 – $4,436
Missouri MO37$1,351−18%$823 – $2,929
Colorado CO34$1,316−20%$926 – $4,181
Wisconsin WI60$1,270−23%$1,175 – $2,426
Wyoming WY12$1,205−27%$793 – $2,075
South Dakota SD11$1,198−27%$1,198 – $2,434
Virginia VA49$1,196−28%$629 – $1,873
Michigan MI58$1,175−29%$843 – $2,211
Alabama AL16$1,172−29%$874 – $2,826
Iowa IA39$1,146−31%$694 – $2,178
West Virginia WV24$1,132−31%$487 – $2,199
Kentucky KY27$1,094−34%$447 – $3,403
Indiana IN36$1,069−35%$711 – $1,708
Oklahoma OK38$1,061−36%$523 – $2,006
Nebraska NE32$1,037−37%$769 – $1,793
Maine ME19$1,009−39%$405 – $1,665
Montana MT17$908−45%$474 – $1,844
Utah UT26$891−46%$844 – $990
Arkansas AR15$876−47%$476 – $992
Mississippi MS33$797−52%$601 – $1,235
Louisiana LA28$700−58%$407 – $1,728
New Hampshire NH13$645−61%$328 – $1,239
Tennessee TN31$629−62%$483 – $2,010
Arizona AZ17$554−66%$554 – $1,897
Alaska AK9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,651.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,311$1,785$832 – $3,576
Children’s42$3,196$1,079 – $7,564
Critical access435$1,135$642 – $2,263
Ownership
For-profit165$1,864$716 – $4,226
Government311$1,505$793 – $2,914
Non-profit1,312$1,651$764 – $3,410
System affiliation
Part of a system1,438$1,694$764 – $3,475
Independent351$1,438$773 – $2,413

Cash price vs list price

Median list price (chargemaster)$2,819
Median cash price$1,651
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,348 hospitals filed a usable inpatient cash price for this code. The median is $1,747 and the average of the middle 60% is $1,892; most fall between $773 and $3,590.

Cash price percentiles, inpatient, across 1,348 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$554$911$1,747$3,038$4,864

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($554 vs $4,864).

Of the 1,449 hospitals that filed this code inpatient, 1,348 gave a usable cash price; 38 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 63 a list price only.

How complete is this

1,789 of the 3,956 hospitals with a price file in our corpus (45%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,922 hospitals that filed this code at all gave us
Usable cash price — counted1,789
Cash price carrying a plausibility flag — shown on the compare tool, excluded here64
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded67
Hospitals that filed this code1,922

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other fracture and dislocation procedure family.

Hospitals file this code under descriptions such as Cltx Prox Humrl Fx W/Mnpj W/WO Skeletal Tracj.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Setting a broken upper arm near the shoulder (CPT 23605) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-23605-setting-a-broken-upper-arm-near-the-shoulder