HRHospitalRates.comCompare prices

Procedure price report · Other non-OR therapeutic procedures on musculoskeletal system

Wrist manipulation under anesthesia

CPT 25259the billing code this page is about

The surgeon moves and stretches a stiff wrist through its range of motion while the patient is under anesthesia.

Hospitals typically charge $1,747 cash for this outpatient procedure — the median across 444 hospitals that filed a usable cash price; the average of the middle 60% is $1,692. Most fall between $716 and $3,396 (20th–80th percentile).

Hospitals
444
States
44
Filings dated
Jun 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 444 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
$545$795$1,747$2,739$5,701

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($545 vs $5,701).

How the prices are spread

$377 – $498: 19 hospitals$377$498 – $657: 24 hospitals$657 – $867: 58 hospitals$657$867 – $1,145: 53 hospitals$1,145 – $1,512: 22 hospitals$1,145$1,512 – $1,996: 59 hospitals$1,996 – $2,636: 66 hospitals$1,996$2,636 – $3,480: 34 hospitals$3,480 – $4,595: 29 hospitals$3,480$4,595 – $6,067: 36 hospitals$4,595median $1,747price bands are equal on a log scale
Hospitals per price band (400 of 444 — the bands cover the 5th to 95th percentile)
FromToHospitals
$377$49819
$498$65724
$657$86758
$867$1,14553
$1,145$1,51222
$1,512$1,99659
$1,996$2,63666
$2,636$3,48034
$3,480$4,59529
$4,595$6,06736

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,747
Cash as a multiple of Medicare1.06×

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 $1,747.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,146 across 17 hospitalsWA$2,146Idaho: median $2,500 across 10 hospitalsID$2,500Montana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $830 across 15 hospitalsIL$830Wisconsin: median $2,201 across 23 hospitalsWI$2,201Michigan: median $686 across 39 hospitalsMI$686New York: median $1,894 across 25 hospitalsNY$1,894Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $3,374 across 14 hospitalsOR$3,374Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $1,042 across 18 hospitalsIA$1,042Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,050 across 13 hospitalsOH$1,050Pennsylvania: median $324 across 17 hospitalsPA$324New Jersey: median $2,136 across 30 hospitalsNJ$2,136Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,904 across 52 hospitalsCA$2,904Utah: no hospital in the corpus filed a usable priceUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 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: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $716 across 14 hospitalsOK$716Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $6,067 across 12 hospitalsGA$6,067Hawaii: no hospital in the corpus filed a usable priceHITexas: median $1,998 across 33 hospitalsTX$1,998Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,747. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA12$6,067+247%$1,604 – $6,307
Oregon OR14$3,374+93%$795 – $4,274
California CA52$2,904+66%$1,346 – $5,701
Idaho ID10$2,500+43%$838 – $4,436
Wisconsin WI23$2,201+26%$2,109 – $2,201
Washington WA17$2,146+23%$795 – $3,314
New Jersey NJ30$2,136+22%$1,773 – $5,339
Texas TX33$1,998+14%$1,467 – $2,021
New York NY25$1,894+8%$1,192 – $1,909
Ohio OH13$1,050−40%$654 – $1,747
Iowa IA18$1,042−40%$1,042 – $1,216
Illinois IL15$830−53%$317 – $1,294
Oklahoma OK14$716−59%$716 – $3,263
Michigan MI39$686−61%$648 – $2,739
Pennsylvania PA17$324−81%$264 – $3,016
Tennessee TN9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not 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 $1,747.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care355$1,771$716 – $4,105
Children’s8fewer than 20 hospitals
Critical access81$1,313$773 – $2,697
Ownership
For-profit46$1,607$626 – $4,229
Government73$1,122$710 – $2,739
Non-profit325$1,834$716 – $3,560
System affiliation
Part of a system354$1,894$728 – $3,986
Independent90$937$648 – $2,080

Cash price vs list price

Median list price (chargemaster)$1,941
Median cash price$1,747
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

270 hospitals filed a usable inpatient cash price for this code. The median is $1,727 and the average of the middle 60% is $1,713; most fall between $716 and $3,447.

Cash price percentiles, inpatient, across 270 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
$497$795$1,727$2,891$5,701

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($497 vs $5,701).

Of the 283 hospitals that filed this code inpatient, 270 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

444 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 467 hospitals that filed this code at all gave us
Usable cash price — counted444
Cash price carrying a plausibility flag — shown on the compare tool, excluded here17
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded5
Hospitals that filed this code467

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 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR therapeutic procedures on musculoskeletal system family.

Hospitals file this code under descriptions such as Manipulation Wrist Under Anesthesia.

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, “Wrist manipulation under anesthesia (CPT 25259) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-25259-wrist-manipulation-under-anesthesia