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Procedure price report · Other fracture and dislocation procedure

Repair of an unhealed wrist bone, each bone treated

CPT 25431the billing code this page is about

Surgery to fix a carpal bone of the wrist other than the scaphoid that failed to heal, including bone graft and any fixation; billed once for each bone treated.

Hospitals typically charge $3,903 cash for this outpatient procedure — the median across 247 hospitals that filed a usable cash price; the average of the middle 60% is $4,416. Most fall between $1,303 and $9,654 (20th–80th percentile).

Hospitals
247
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 247 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
$795$1,366$3,903$8,454$14,162

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($795 vs $14,162).

How the prices are spread

$608 – $835: 15 hospitals$608$835 – $1,148: 9 hospitals$1,148 – $1,577: 44 hospitals$1,148$1,577 – $2,168: 25 hospitals$2,168 – $2,980: 9 hospitals$2,168$2,980 – $4,095: 17 hospitals$4,095 – $5,629: 11 hospitals$4,095$5,629 – $7,736: 26 hospitals$7,736 – $10,632: 40 hospitals$7,736$10,632 – $14,613: 28 hospitals$10,632median $3,903price bands are equal on a log scale
Hospitals per price band (224 of 247 — the bands cover the 5th to 95th percentile)
FromToHospitals
$608$83515
$835$1,1489
$1,148$1,57744
$1,577$2,16825
$2,168$2,9809
$2,980$4,09517
$4,095$5,62911
$5,629$7,73626
$7,736$10,63240
$10,632$14,61328

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,903
Cash as a multiple of Medicare0.53×

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 $3,903.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 7 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: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,443 across 10 hospitalsIL$1,443Wisconsin: median $3,903 across 10 hospitalsWI$3,903Michigan: median $1,154 across 12 hospitalsMI$1,154New York: median $8,454 across 22 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $1,938 across 15 hospitalsIA$1,938Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $515 across 18 hospitalsPA$515New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $14,162 across 22 hospitalsCA$14,162Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals 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: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 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 $1,303 across 14 hospitalsOK$1,303Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $6,095 across 22 hospitalsTX$6,095Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,903. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA22$14,162+263%$14,162 – $14,162
New York NY22$8,454+117%$4,265 – $8,613
New Jersey NJ22$6,311+62%$4,881 – $7,914
Texas TX22$6,095+56%$2,868 – $6,095
Wisconsin WI10$3,9030%$3,903 – $3,903
Iowa IA15$1,938−50%$1,938 – $1,938
Illinois IL10$1,443−63%$608 – $1,875
Oklahoma OK14$1,303−67%$1,303 – $14,565
Michigan MI12$1,154−70%$1,154 – $9,978
Pennsylvania PA18$515−87%$414 – $12,077
Ohio OH8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Georgia GA2not 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
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kentucky KY1not 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
Washington WA1not 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 $3,903.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care208$4,350$1,303 – $9,654
Children’s8fewer than 20 hospitals
Critical access31$3,903$1,309 – $12,106
Ownership
For-profit30$3,181$737 – $11,620
Government34$1,625$1,302 – $8,454
Non-profit183$3,903$1,303 – $9,978
System affiliation
Part of a system200$4,719$1,303 – $9,978
Independent47$1,655$1,305 – $6,717

Cash price vs list price

Median list price (chargemaster)$2,679
Median cash price$3,903
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

149 hospitals filed a usable inpatient cash price for this code. The median is $1,938 and the average of the middle 60% is $3,560; most fall between $1,154 and $13,461.

Cash price percentiles, inpatient, across 149 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
$686$1,303$1,938$7,861$14,162

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($686 vs $14,162).

Of the 163 hospitals that filed this code inpatient, 149 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

247 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 269 hospitals that filed this code at all gave us
Usable cash price — counted247
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 — excluded0
A list price only, no cash figure — excluded3
Hospitals that filed this code269

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 fracture and dislocation procedure family.

Hospitals file this code under descriptions such as Repair Nonunion Carpal Bone Each Bone.

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, “Repair of an unhealed wrist bone, each bone treated (CPT 25431) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-25431-repair-of-an-unhealed-wrist-bone-each-bone-treated