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

Open surgery for a Monteggia elbow fracture-dislocation

CPT 24635the billing code this page is about

Surgery that opens the elbow to repair a break at the upper end of the forearm bone along with the associated dislocation, with or without hardware.

Hospitals typically charge $3,703 cash for this outpatient procedure — the median across 554 hospitals that filed a usable cash price; the average of the middle 60% is $4,620. Most fall between $1,269 and $9,978 (20th–80th percentile).

Hospitals
554
States
49
Filings dated
Jan 2024 – 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 554 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
$959$1,505$3,703$8,613$14,576

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($959 vs $14,576).

How the prices are spread

$661 – $915: 25 hospitals$661$915 – $1,267: 55 hospitals$1,267 – $1,755: 71 hospitals$1,267$1,755 – $2,431: 50 hospitals$2,431 – $3,368: 26 hospitals$2,431$3,368 – $4,665: 45 hospitals$4,665 – $6,461: 41 hospitals$4,665$6,461 – $8,949: 79 hospitals$8,949 – $12,396: 64 hospitals$8,949$12,396 – $17,169: 46 hospitals$12,396median $3,703price bands are equal on a log scale
Hospitals per price band (502 of 554 — the bands cover the 5th to 95th percentile)
FromToHospitals
$661$91525
$915$1,26755
$1,267$1,75571
$1,755$2,43150
$2,431$3,36826
$3,368$4,66545
$4,665$6,46141
$6,461$8,94979
$8,949$12,39664
$12,396$17,16946

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,703
Cash as a multiple of Medicare0.50×

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 $3,703.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,987 across 21 hospitalsWA$4,987Idaho: median $7,933 across 11 hospitalsID$7,933Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,284 across 18 hospitalsIL$1,284Wisconsin: median $7,508 across 32 hospitalsWI$7,508Michigan: median $2,091 across 32 hospitalsMI$2,091New York: median $8,454 across 31 hospitalsNY$8,454Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,257 across 24 hospitalsOR$2,257Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,657 across 18 hospitalsIA$1,657Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,288 across 15 hospitalsOH$2,288Pennsylvania: median $6,943 across 23 hospitalsPA$6,943New Jersey: median $7,907 across 32 hospitalsNJ$7,907Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $6,317 across 52 hospitalsCA$6,317Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,142 across 10 hospitalsMO$1,142Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,118 across 13 hospitalsOK$1,118Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $7,906 across 10 hospitalsGA$7,906Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $10,443 across 29 hospitalsTX$10,443Florida: median $6,551 across 14 hospitalsFL$6,551
Cash price by state, most expensive first. National median $3,703. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX29$10,443+182%$6,741 – $10,443
New York NY31$8,454+128%$1,614 – $8,454
Idaho ID11$7,933+114%$2,898 – $14,738
New Jersey NJ32$7,907+114%$5,110 – $14,930
Georgia GA10$7,906+114%$7,906 – $16,800
Wisconsin WI32$7,508+103%$3,398 – $9,471
Pennsylvania PA23$6,943+88%$444 – $11,093
Florida FL14$6,551+77%$6,551 – $10,751
California CA52$6,317+71%$2,265 – $6,317
Washington WA21$4,987+35%$1,419 – $13,820
Ohio OH15$2,288−38%$1,215 – $2,520
Oregon OR24$2,257−39%$1,269 – $14,931
Michigan MI32$2,091−44%$1,518 – $3,398
Iowa IA18$1,657−55%$1,300 – $1,657
Illinois IL18$1,284−65%$1,013 – $4,215
Missouri MO10$1,142−69%$1,066 – $11,108
Oklahoma OK13$1,118−70%$1,118 – $14,565
Indiana IN9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $3,703.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care414$5,153$1,284 – $10,443
Children’s17fewer than 20 hospitals
Critical access123$2,091$1,126 – $9,450
Ownership
For-profit52$6,504$1,294 – $11,775
Government95$2,150$1,228 – $8,454
Non-profit407$3,874$1,274 – $9,633
System affiliation
Part of a system430$4,897$1,274 – $10,443
Independent124$2,147$1,228 – $7,482

Cash price vs list price

Median list price (chargemaster)$4,182
Median cash price$3,703
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

317 hospitals filed a usable inpatient cash price for this code. The median is $3,398 and the average of the middle 60% is $4,410; most fall between $1,215 and $10,443.

Cash price percentiles, inpatient, across 317 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
$983$1,306$3,398$7,907$14,738

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($983 vs $14,738).

Of the 351 hospitals that filed this code inpatient, 317 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

554 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 606 hospitals that filed this code at all gave us
Usable cash price — counted554
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
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 — excluded10
Hospitals that filed this code606

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 Open Tx Monteggia Fracture Dislocation Elbow.

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, “Open surgery for a Monteggia elbow fracture-dislocation (CPT 24635) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-24635-open-surgery-for-a-monteggia-elbow-fracture-dislocation