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

Setting a partly slipped radius head in a child's elbow

CPT 24640the billing code this page is about

Manipulation of a young child's elbow to put a partially slipped forearm bone head back in place, commonly called nursemaid's elbow, without surgery.

Hospitals typically charge $340 cash for this outpatient procedure — the median across 2,491 hospitals that filed a usable cash price; the average of the middle 60% is $362. Most fall between $185 and $626 (20th–80th percentile).

Hospitals
2,491
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 2,491 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
$128$212$340$551$893

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($128 vs $893).

How the prices are spread

$102 – $131: 139 hospitals$102$131 – $169: 169 hospitals$169 – $217: 221 hospitals$169$217 – $280: 348 hospitals$280 – $361: 302 hospitals$280$361 – $465: 348 hospitals$465 – $599: 299 hospitals$465$599 – $772: 225 hospitals$772 – $995: 107 hospitals$772$995 – $1,282: 87 hospitals$995median $340price bands are equal on a log scale
Hospitals per price band (2,245 of 2,491 — the bands cover the 5th to 95th percentile)
FromToHospitals
$102$131139
$131$169169
$169$217221
$217$280348
$280$361302
$361$465348
$465$599299
$599$772225
$772$995107
$995$1,28287

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$340
Cash as a multiple of Medicare1.35×

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 $340.

Alaska: median $442 across 16 hospitalsAK$442Maine: median $255 across 21 hospitalsME$255Vermont: median $283 across 12 hospitalsVT$283New Hampshire: median $232 across 19 hospitalsNH$232Washington: median $393 across 64 hospitalsWA$393Idaho: median $282 across 21 hospitalsID$282Montana: median $192 across 30 hospitalsMT$192North Dakota: median $305 across 26 hospitalsND$305Minnesota: median $385 across 92 hospitalsMN$385Illinois: median $355 across 114 hospitalsIL$355Wisconsin: median $446 across 83 hospitalsWI$446Michigan: median $282 across 68 hospitalsMI$282New York: median $310 across 96 hospitalsNY$310Massachusetts: median $495 across 42 hospitalsMA$495Oregon: median $301 across 52 hospitalsOR$301Nevada: median $329 across 17 hospitalsNV$329Wyoming: median $319 across 14 hospitalsWY$319South Dakota: median $330 across 32 hospitalsSD$330Iowa: median $279 across 81 hospitalsIA$279Indiana: median $298 across 47 hospitalsIN$298Ohio: median $486 across 78 hospitalsOH$486Pennsylvania: median $371 across 113 hospitalsPA$371New Jersey: median $701 across 49 hospitalsNJ$701Connecticut: median $415 across 16 hospitalsCT$415Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $655 across 129 hospitalsCA$655Utah: median $416 across 31 hospitalsUT$416Colorado: median $321 across 48 hospitalsCO$321Nebraska: median $295 across 65 hospitalsNE$295Missouri: median $220 across 49 hospitalsMO$220Kentucky: median $260 across 45 hospitalsKY$260West Virginia: median $318 across 38 hospitalsWV$318Virginia: median $352 across 55 hospitalsVA$352Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $303 across 28 hospitalsAZ$303New Mexico: median $353 across 27 hospitalsNM$353Kansas: median $314 across 74 hospitalsKS$314Arkansas: median $248 across 33 hospitalsAR$248Tennessee: median $206 across 47 hospitalsTN$206North Carolina: median $397 across 45 hospitalsNC$397South Carolina: median $384 across 45 hospitalsSC$384Oklahoma: median $265 across 62 hospitalsOK$265Louisiana: median $215 across 39 hospitalsLA$215Mississippi: median $200 across 49 hospitalsMS$200Alabama: median $300 across 24 hospitalsAL$300Georgia: median $344 across 66 hospitalsGA$344Hawaii: median $577 across 17 hospitalsHI$577Texas: median $441 across 169 hospitalsTX$441Florida: median $638 across 89 hospitalsFL$638
Cash price by state, most expensive first. National median $340. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ49$701+106%$283 – $4,350
California CA129$655+93%$315 – $1,282
Florida FL89$638+88%$301 – $1,625
Hawaii HI17$577+70%$438 – $939
Massachusetts MA42$495+46%$256 – $869
Ohio OH78$486+43%$222 – $717
Wisconsin WI83$446+31%$232 – $500
Alaska AK16$442+30%$229 – $723
Texas TX169$441+30%$177 – $627
Utah UT31$416+22%$326 – $466
Connecticut CT16$415+22%$260 – $598
North Carolina NC45$397+17%$172 – $525
Washington WA64$393+16%$215 – $611
Minnesota MN92$385+13%$195 – $623
South Carolina SC45$384+13%$167 – $455
Pennsylvania PA113$371+9%$204 – $592
Illinois IL114$355+4%$198 – $592
New Mexico NM27$353+4%$170 – $741
Virginia VA55$352+3%$202 – $446
Georgia GA66$344+1%$147 – $901
South Dakota SD32$330−3%$291 – $564
Nevada NV17$329−3%$264 – $619
Colorado CO48$321−6%$189 – $674
Wyoming WY14$319−6%$101 – $553
West Virginia WV38$318−7%$230 – $565
Kansas KS74$314−8%$171 – $796
New York NY96$310−9%$219 – $711
North Dakota ND26$305−10%$198 – $412
Arizona AZ28$303−11%$118 – $756
Oregon OR52$301−12%$173 – $473
Alabama AL24$300−12%$212 – $743
Indiana IN47$298−12%$216 – $530
Nebraska NE65$295−13%$216 – $370
Vermont VT12$283−17%$195 – $612
Idaho ID21$282−17%$164 – $670
Michigan MI68$282−17%$107 – $446
Iowa IA81$279−18%$159 – $435
Oklahoma OK62$265−22%$115 – $489
Kentucky KY45$260−24%$174 – $363
Maine ME21$255−25%$218 – $342
Arkansas AR33$248−27%$128 – $501
New Hampshire NH19$232−32%$79 – $293
Missouri MO49$220−35%$112 – $436
Louisiana LA39$215−37%$115 – $480
Tennessee TN47$206−40%$117 – $315
Mississippi MS49$200−41%$114 – $260
Montana MT30$192−44%$118 – $278
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Maryland MD2not 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 $340.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,629$371$198 – $685
Children’s48$582$294 – $1,091
Critical access811$280$168 – $497
Ownership
For-profit268$420$220 – $847
Government518$288$163 – $525
Non-profit1,702$355$191 – $623
System affiliation
Part of a system1,976$365$195 – $648
Independent515$284$160 – $521

Cash price vs list price

Median list price (chargemaster)$563
Median cash price$340
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

1,828 hospitals filed a usable inpatient cash price for this code. The median is $374 and the average of the middle 60% is $390; most fall between $193 and $655.

Cash price percentiles, inpatient, across 1,828 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
$138$224$374$584$916

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($138 vs $916).

Of the 1,944 hospitals that filed this code inpatient, 1,828 gave a usable cash price; 45 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 71 a list price only.

How complete is this

2,491 of the 3,956 hospitals with a price file in our corpus (63%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,658 hospitals that filed this code at all gave us
Usable cash price — counted2,491
Cash price carrying a plausibility flag — shown on the compare tool, excluded here74
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded10
A list price only, no cash figure — excluded82
Hospitals that filed this code2,658

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 July 20, 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 Cltx Rdl Head Sublxtj Chld Nursemaid Elbw 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 partly slipped radius head in a child's elbow (CPT 24640) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-24640-setting-a-partly-slipped-radius-head-in-a-child-s-elbow