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Procedure price report · Arthroplasty other than hip or knee

Total wrist replacement

CPT 25446the billing code this page is about

Joint replacement surgery in which the lower end of the radius and part or all of the wrist bones are replaced with an artificial wrist implant.

Hospitals typically charge $5,959 cash for this outpatient procedure — the median across 292 hospitals that filed a usable cash price; the average of the middle 60% is $9,629. Most fall between $1,932 and $20,373 (20th–80th percentile).

Hospitals
292
States
42
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 292 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
$1,542$2,148$5,959$20,160$24,110

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($1,542 vs $24,110).

How the prices are spread

$1,091 – $1,525: 14 hospitals$1,091$1,525 – $2,131: 45 hospitals$2,131 – $2,979: 31 hospitals$2,131$2,979 – $4,165: 16 hospitals$4,165 – $5,823: 25 hospitals$4,165$5,823 – $8,140: 11 hospitals$8,140 – $11,380: 4 hospitals$8,140$11,380 – $15,909: 20 hospitals$15,909 – $22,240: 80 hospitals$15,909$22,240 – $31,091: 19 hospitals$22,240median $5,959price bands are equal on a log scale
Hospitals per price band (265 of 292 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,091$1,52514
$1,525$2,13145
$2,131$2,97931
$2,979$4,16516
$4,165$5,82325
$5,823$8,14011
$8,140$11,3804
$11,380$15,90920
$15,909$22,24080
$22,240$31,09119

Against Medicare

Medicare pays (OPPS 2026, national rate)$17,914
Median cash price$5,959
Cash as a multiple of Medicare0.33×

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 $5,959.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 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: median $16,369 across 10 hospitalsID$16,369Montana: 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 $2,099 across 10 hospitalsIL$2,099Wisconsin: median $5,791 across 10 hospitalsWI$5,791Michigan: median $2,245 across 12 hospitalsMI$2,245New York: median $21,762 across 20 hospitalsNY$21,762Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $3,879 across 11 hospitalsOR$3,879Nevada: 2 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 $2,896 across 16 hospitalsIA$2,896Indiana: 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 $894 across 18 hospitalsPA$894New Jersey: median $20,098 across 28 hospitalsNJ$20,098Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $20,160 across 22 hospitalsCA$20,160Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 2 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals 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: 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 $1,932 across 13 hospitalsOK$1,932Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $16,140 across 36 hospitalsTX$16,140Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,959. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY20$21,762+265%$3,534 – $21,762
California CA22$20,160+238%$20,160 – $20,160
New Jersey NJ28$20,098+237%$5,110 – $22,686
Idaho ID10$16,369+175%$3,010 – $20,834
Texas TX36$16,140+171%$14,909 – $18,190
Wisconsin WI10$5,791−3%$5,791 – $5,791
Oregon OR11$3,879−35%$2,169 – $3,879
Iowa IA16$2,896−51%$2,896 – $2,896
Michigan MI12$2,245−62%$1,726 – $24,110
Illinois IL10$2,099−65%$1,542 – $2,759
Oklahoma OK13$1,932−68%$1,932 – $1,932
Pennsylvania PA18$894−85%$729 – $31,091
Ohio OH9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kansas KS2not 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
Nevada NV2not enough hospitals filed a usable price
Virginia VA2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
South Dakota SD1not 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 $5,959.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care250$9,880$1,977 – $20,471
Children’s5fewer than 20 hospitals
Critical access37$3,879$1,726 – $16,140
Ownership
For-profit38$14,909$1,676 – $25,295
Government38$2,984$1,887 – $21,762
Non-profit216$5,791$2,068 – $20,355
System affiliation
Part of a system241$6,839$1,932 – $20,812
Independent51$3,139$1,890 – $17,738

Cash price vs list price

Median list price (chargemaster)$4,849
Median cash price$5,959
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

156 hospitals filed a usable inpatient cash price for this code. The median is $4,591 and the average of the middle 60% is $10,635; most fall between $1,894 and $20,160.

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
$1,542$1,932$4,591$18,190$20,160

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($1,542 vs $20,160).

Of the 166 hospitals that filed this code inpatient, 156 gave a usable cash price; 8 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

292 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 310 hospitals that filed this code at all gave us
Usable cash price — counted292
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
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 code310

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 5, 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 Arthroplasty other than hip or knee family.

Hospitals file this code under descriptions such as Arthrp W/Prostc Rplcmt Dstl Rds&Prtl/Entir Carps.

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, “Total wrist replacement (CPT 25446) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-25446-total-wrist-replacement