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Procedure price report · Arthroplasty other than hip or knee

Replacement of the trapezium bone with an implant

CPT 25445the billing code this page is about

Joint reconstruction surgery at the base of the thumb in which the trapezium bone is removed and replaced with an artificial implant.

Hospitals typically charge $3,594 cash for this outpatient procedure — the median across 298 hospitals that filed a usable cash price; the average of the middle 60% is $3,932. Most fall between $1,082 and $8,032 (20th–80th percentile).

Hospitals
298
States
42
Filings dated
Mar 2023 – 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 298 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
$742$1,196$3,594$7,400$9,978

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($742 vs $9,978).

How the prices are spread

$678 – $914: 36 hospitals$678$914 – $1,232: 27 hospitals$1,232 – $1,661: 29 hospitals$1,232$1,661 – $2,240: 28 hospitals$2,240 – $3,020: 9 hospitals$2,240$3,020 – $4,073: 14 hospitals$4,073 – $5,491: 31 hospitals$4,073$5,491 – $7,404: 38 hospitals$7,404 – $9,983: 45 hospitals$7,404$9,983 – $13,461: 13 hospitals$9,983median $3,594price bands are equal on a log scale
Hospitals per price band (270 of 298 — the bands cover the 5th to 95th percentile)
FromToHospitals
$678$91436
$914$1,23227
$1,232$1,66129
$1,661$2,24028
$2,240$3,0209
$3,020$4,07314
$4,073$5,49131
$5,491$7,40438
$7,404$9,98345
$9,983$13,46113

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,594
Cash as a multiple of Medicare0.48×

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 $3,594.

Alaska: 2 hospitals 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: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals 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: median $6,447 across 13 hospitalsMN$6,447Illinois: median $1,311 across 12 hospitalsIL$1,311Wisconsin: median $3,594 across 10 hospitalsWI$3,594Michigan: median $717 across 22 hospitalsMI$717New York: median $8,454 across 22 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $1,779 across 18 hospitalsIA$1,779Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $554 across 18 hospitalsPA$554New Jersey: median $7,807 across 28 hospitalsNJ$7,807Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,376 across 25 hospitalsCA$5,376Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 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: 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 $1,193 across 13 hospitalsOK$1,193Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $7,400 across 22 hospitalsTX$7,400Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,594. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY22$8,454+135%$2,156 – $8,454
New Jersey NJ28$7,807+117%$5,110 – $9,388
Texas TX22$7,400+106%$4,156 – $7,400
Minnesota MN13$6,447+79%$4,565 – $6,447
California CA25$5,376+50%$1,811 – $5,376
Wisconsin WI10$3,5940%$3,594 – $3,594
Iowa IA18$1,779−50%$1,469 – $1,779
Illinois IL12$1,311−64%$874 – $1,779
Oklahoma OK13$1,193−67%$1,193 – $1,193
Michigan MI22$717−80%$717 – $1,392
Pennsylvania PA18$554−85%$451 – $12,077
Ohio OH9not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Alaska AK2not 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
Missouri MO2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
West Virginia WV1not 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 $3,594.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care246$4,279$1,137 – $8,376
Children’s5fewer than 20 hospitals
Critical access47$2,065$913 – $7,400
Ownership
For-profit36$6,816$913 – $11,620
Government39$1,515$1,137 – $8,454
Non-profit223$3,761$1,082 – $7,807
System affiliation
Part of a system246$4,023$1,058 – $8,376
Independent52$2,022$1,282 – $7,171

Cash price vs list price

Median list price (chargemaster)$2,539
Median cash price$3,594
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

157 hospitals filed a usable inpatient cash price for this code. The median is $1,779 and the average of the middle 60% is $3,338; most fall between $1,031 and $7,400.

Cash price percentiles, inpatient, across 157 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
$862$1,164$1,779$6,123$11,016

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($862 vs $11,016).

Of the 174 hospitals that filed this code inpatient, 157 gave a usable cash price; 15 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

298 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 335 hospitals that filed this code at all gave us
Usable cash price — counted298
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded3
Hospitals that filed this code335

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 Arthroplasty other than hip or knee family.

Hospitals file this code under descriptions such as Arthroplasty W/Prosthetic Replacement Trapezium.

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, “Replacement of the trapezium bone with an implant (CPT 25445) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-25445-replacement-of-the-trapezium-bone-with-an-implant