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Procedure price report · Other OR therapeutic procedures on bone

Cutting and realigning both forearm bones

CPT 25365the billing code this page is about

Surgery that cuts both the radius and the ulna in the same operation to correct their angle or length.

Hospitals typically charge $4,627 cash for this outpatient procedure — the median across 260 hospitals that filed a usable cash price; the average of the middle 60% is $6,315. Most fall between $1,513 and $14,476 (20th–80th percentile).

Hospitals
260
States
41
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 260 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
$1,121$1,680$4,627$14,476$17,654

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($1,121 vs $17,654).

How the prices are spread

$813 – $1,120: 13 hospitals$813$1,120 – $1,543: 32 hospitals$1,543 – $2,125: 27 hospitals$1,543$2,125 – $2,927: 26 hospitals$2,927 – $4,031: 12 hospitals$2,927$4,031 – $5,552: 15 hospitals$5,552 – $7,647: 19 hospitals$5,552$7,647 – $10,532: 6 hospitals$10,532 – $14,507: 48 hospitals$10,532$14,507 – $19,980: 39 hospitals$14,507median $4,627price bands are equal on a log scale
Hospitals per price band (237 of 260 — the bands cover the 5th to 95th percentile)
FromToHospitals
$813$1,12013
$1,120$1,54332
$1,543$2,12527
$2,125$2,92726
$2,927$4,03112
$4,031$5,55215
$5,552$7,64719
$7,647$10,5326
$10,532$14,50748
$14,507$19,98039

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$4,627
Cash as a multiple of Medicare0.35×

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 $4,627.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,701 across 11 hospitalsIL$1,701Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $15,226 across 21 hospitalsNY$15,226Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,252 across 14 hospitalsIA$2,252Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $9,117 across 19 hospitalsPA$9,117New Jersey: median $6,839 across 24 hospitalsNJ$6,839Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $14,476 across 22 hospitalsCA$14,476Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,513 across 13 hospitalsOK$1,513Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $10,629 across 23 hospitalsTX$10,629Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,627. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY21$15,226+229%$8,070 – $15,226
California CA22$14,476+213%$14,476 – $14,476
Texas TX23$10,629+130%$3,163 – $10,629
Pennsylvania PA19$9,117+97%$571 – $21,753
New Jersey NJ24$6,839+48%$4,881 – $14,254
Iowa IA14$2,252−51%$2,252 – $2,252
Illinois IL11$1,701−63%$1,121 – $2,667
Oklahoma OK13$1,513−67%$1,513 – $17,951
Georgia GA8not enough hospitals filed a usable price
Michigan MI8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price
Wyoming WY1not 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 $4,627.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care215$5,470$1,513 – $14,476
Children’s16fewer than 20 hospitals
Critical access28$4,531$1,288 – $17,443
Ownership
For-profit30$3,910$1,121 – $17,443
Government31$2,258$1,591 – $15,226
Non-profit198$5,419$1,513 – $14,476
System affiliation
Part of a system215$6,154$1,513 – $14,476
Independent45$2,318$1,528 – $12,915

Cash price vs list price

Median list price (chargemaster)$3,806
Median cash price$4,627
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

156 hospitals filed a usable inpatient cash price for this code. The median is $2,252 and the average of the middle 60% is $6,107; most fall between $1,294 and $14,476.

Cash price percentiles, inpatient, across 156 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
$1,098$1,513$2,252$10,629$15,473

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,098 vs $15,473).

Of the 173 hospitals that filed this code inpatient, 156 gave a usable cash price; 13 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

260 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 284 hospitals that filed this code at all gave us
Usable cash price — counted260
Cash price carrying a plausibility flag — shown on the compare tool, excluded here18
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 — excluded4
Hospitals that filed this code284

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 23, 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 OR therapeutic procedures on bone family.

Hospitals file this code under descriptions such as PR Osteotomy Radius/Ulna.

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, “Cutting and realigning both forearm bones (CPT 25365) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-25365-cutting-and-realigning-both-forearm-bones