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Procedure price report · Treatment, fracture or dislocation of radius and ulna

Setting a Monteggia elbow fracture-dislocation by hand

CPT 24620the billing code this page is about

Realigning a break at the upper end of the forearm bone with an associated elbow dislocation by manipulation, without opening the skin.

Hospitals typically charge $1,790 cash for this outpatient procedure — the median across 1,579 hospitals that filed a usable cash price; the average of the middle 60% is $1,882. Most fall between $905 and $3,314 (20th–80th percentile).

Hospitals
1,579
States
49
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 1,579 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
$606$1,018$1,790$2,898$4,785

The most expensive tenth of hospitals charges at least 7.9× what the cheapest tenth charges ($606 vs $4,785).

How the prices are spread

$446 – $577: 63 hospitals$446$577 – $745: 97 hospitals$745 – $964: 128 hospitals$745$964 – $1,246: 131 hospitals$1,246 – $1,610: 165 hospitals$1,246$1,610 – $2,081: 281 hospitals$2,081 – $2,691: 195 hospitals$2,081$2,691 – $3,478: 146 hospitals$3,478 – $4,497: 121 hospitals$3,478$4,497 – $5,813: 109 hospitals$4,497median $1,790price bands are equal on a log scale
Hospitals per price band (1,436 of 1,579 — the bands cover the 5th to 95th percentile)
FromToHospitals
$446$57763
$577$74597
$745$964128
$964$1,246131
$1,246$1,610165
$1,610$2,081281
$2,081$2,691195
$2,691$3,478146
$3,478$4,497121
$4,497$5,813109

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,790
Cash as a multiple of Medicare1.09×

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 $1,790.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,314 across 12 hospitalsME$1,314Vermont: median $814 across 10 hospitalsVT$814New Hampshire: median $811 across 14 hospitalsNH$811Washington: median $1,856 across 59 hospitalsWA$1,856Idaho: median $2,189 across 13 hospitalsID$2,189Montana: median $1,333 across 15 hospitalsMT$1,333North Dakota: median $1,761 across 10 hospitalsND$1,761Minnesota: median $1,660 across 40 hospitalsMN$1,660Illinois: median $1,790 across 62 hospitalsIL$1,790Wisconsin: median $2,244 across 56 hospitalsWI$2,244Michigan: median $1,426 across 56 hospitalsMI$1,426New York: median $2,610 across 66 hospitalsNY$2,610Massachusetts: median $3,704 across 37 hospitalsMA$3,704Oregon: median $1,971 across 39 hospitalsOR$1,971Nevada: median $1,749 across 10 hospitalsNV$1,749Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $3,620 across 11 hospitalsSD$3,620Iowa: median $1,670 across 31 hospitalsIA$1,670Indiana: median $1,018 across 26 hospitalsIN$1,018Ohio: median $1,816 across 58 hospitalsOH$1,816Pennsylvania: median $2,027 across 77 hospitalsPA$2,027New Jersey: median $3,986 across 36 hospitalsNJ$3,986Connecticut: median $2,882 across 11 hospitalsCT$2,882Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,286 across 109 hospitalsCA$3,286Utah: median $891 across 28 hospitalsUT$891Colorado: median $1,337 across 34 hospitalsCO$1,337Nebraska: median $1,348 across 18 hospitalsNE$1,348Missouri: median $1,771 across 23 hospitalsMO$1,771Kentucky: median $1,550 across 24 hospitalsKY$1,550West Virginia: median $1,884 across 23 hospitalsWV$1,884Virginia: median $1,508 across 47 hospitalsVA$1,508Maryland: no hospital in the corpus filed a usable priceMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $686 across 18 hospitalsAZ$686New Mexico: median $1,100 across 13 hospitalsNM$1,100Kansas: median $1,277 across 23 hospitalsKS$1,277Arkansas: median $983 across 14 hospitalsAR$983Tennessee: median $919 across 34 hospitalsTN$919North Carolina: median $970 across 29 hospitalsNC$970South Carolina: median $4,229 across 36 hospitalsSC$4,229Oklahoma: median $1,150 across 31 hospitalsOK$1,150Louisiana: median $648 across 25 hospitalsLA$648Mississippi: median $1,026 across 28 hospitalsMS$1,026Alabama: median $1,435 across 15 hospitalsAL$1,435Georgia: median $1,750 across 40 hospitalsGA$1,750Hawaii: median $3,821 across 14 hospitalsHI$3,821Texas: median $1,691 across 122 hospitalsTX$1,691Florida: median $2,803 across 56 hospitalsFL$2,803
Cash price by state, most expensive first. National median $1,790. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC36$4,229+136%$2,826 – $4,260
New Jersey NJ36$3,986+123%$1,773 – $6,803
Hawaii HI14$3,821+113%$3,098 – $4,787
Massachusetts MA37$3,704+107%$1,514 – $5,050
South Dakota SD11$3,620+102%$1,018 – $3,767
California CA109$3,286+84%$1,620 – $5,813
Connecticut CT11$2,882+61%$900 – $3,490
Florida FL56$2,803+57%$1,856 – $5,571
New York NY66$2,610+46%$1,108 – $4,977
Wisconsin WI56$2,244+25%$1,648 – $2,781
Idaho ID13$2,189+22%$772 – $4,436
Pennsylvania PA77$2,027+13%$695 – $3,098
Oregon OR39$1,971+10%$1,110 – $3,190
West Virginia WV23$1,884+5%$633 – $2,340
Washington WA59$1,856+4%$842 – $3,721
Ohio OH58$1,816+1%$1,059 – $4,785
Illinois IL62$1,7900%$1,112 – $2,747
Missouri MO23$1,771−1%$926 – $3,031
North Dakota ND10$1,761−2%$1,294 – $2,168
Georgia GA40$1,750−2%$710 – $4,173
Nevada NV10$1,749−2%$900 – $2,716
Texas TX122$1,691−6%$1,126 – $2,687
Iowa IA31$1,670−7%$1,076 – $3,012
Minnesota MN40$1,660−7%$1,029 – $2,080
Kentucky KY24$1,550−13%$597 – $2,800
Virginia VA47$1,508−16%$723 – $2,408
Alabama AL15$1,435−20%$852 – $2,300
Michigan MI56$1,426−20%$929 – $2,392
Nebraska NE18$1,348−25%$390 – $2,267
Colorado CO34$1,337−25%$999 – $2,204
Montana MT15$1,333−26%$448 – $1,771
Maine ME12$1,314−27%$870 – $3,227
Kansas KS23$1,277−29%$469 – $2,836
Oklahoma OK31$1,150−36%$446 – $1,948
New Mexico NM13$1,100−39%$946 – $1,664
Mississippi MS28$1,026−43%$875 – $2,114
Indiana IN26$1,018−43%$721 – $1,739
Arkansas AR14$983−45%$905 – $1,550
North Carolina NC29$970−46%$343 – $2,268
Tennessee TN34$919−49%$723 – $1,276
Utah UT28$891−50%$831 – $1,219
Vermont VT10$814−55%$488 – $1,117
New Hampshire NH14$811−55%$455 – $1,648
Arizona AZ18$686−62%$686 – $1,973
Louisiana LA25$648−64%$412 – $1,728
Alaska AK9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Delaware DE2not 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 $1,790.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,200$1,823$929 – $3,450
Children’s45$3,290$1,199 – $6,764
Critical access333$1,494$814 – $2,504
Ownership
For-profit144$1,750$820 – $3,128
Government262$1,562$811 – $2,749
Non-profit1,172$1,827$929 – $3,520
System affiliation
Part of a system1,304$1,847$929 – $3,520
Independent275$1,515$832 – $2,506

Cash price vs list price

Median list price (chargemaster)$3,211
Median cash price$1,790
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

1,208 hospitals filed a usable inpatient cash price for this code. The median is $1,816 and the average of the middle 60% is $1,974; most fall between $939 and $3,704.

Cash price percentiles, inpatient, across 1,208 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
$624$1,055$1,816$3,152$4,793

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($624 vs $4,793).

Of the 1,292 hospitals that filed this code inpatient, 1,208 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 55 a list price only.

How complete is this

1,579 of the 3,956 hospitals with a price file in our corpus (40%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,694 hospitals that filed this code at all gave us
Usable cash price — counted1,579
Cash price carrying a plausibility flag — shown on the compare tool, excluded here54
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded58
Hospitals that filed this code1,694

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 Treatment, fracture or dislocation of radius and ulna family.

Hospitals file this code under descriptions such as Closed Tx Monteggia Fx Dislocation Elbow W/Manj.

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 Monteggia elbow fracture-dislocation by hand (CPT 24620) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-24620-setting-a-monteggia-elbow-fracture-dislocation-by-hand