HRHospitalRates.comCompare prices

Procedure price report · Arthroplasty other than hip or knee

Redo wrist replacement with removal of the implant

CPT 25449the billing code this page is about

Surgery to revise a previous wrist joint replacement, including taking out the existing implant.

Hospitals typically charge $4,689 cash for this outpatient procedure — the median across 292 hospitals that filed a usable cash price; the average of the middle 60% is $4,867. Most fall between $1,703 and $9,072 (20th–80th percentile).

Hospitals
292
States
43
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 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
$1,143$1,743$4,689$8,454$14,826

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($1,143 vs $14,826).

How the prices are spread

$941 – $1,242: 23 hospitals$941$1,242 – $1,639: 17 hospitals$1,639 – $2,163: 35 hospitals$1,639$2,163 – $2,854: 24 hospitals$2,854 – $3,767: 11 hospitals$2,854$3,767 – $4,970: 33 hospitals$4,970 – $6,558: 21 hospitals$4,970$6,558 – $8,654: 53 hospitals$8,654 – $11,420: 18 hospitals$8,654$11,420 – $15,070: 34 hospitals$11,420median $4,689price bands are equal on a log scale
Hospitals per price band (269 of 292 — the bands cover the 5th to 95th percentile)
FromToHospitals
$941$1,24223
$1,242$1,63917
$1,639$2,16335
$2,163$2,85424
$2,854$3,76711
$3,767$4,97033
$4,970$6,55821
$6,558$8,65453
$8,654$11,42018
$11,420$15,07034

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$4,689
Cash as a multiple of Medicare0.63×

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 $4,689.

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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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: median $4,692 across 13 hospitalsMN$4,692Illinois: median $1,878 across 11 hospitalsIL$1,878Wisconsin: 9 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,716 across 17 hospitalsMI$1,716New York: median $8,454 across 21 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: 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 $2,554 across 15 hospitalsIA$2,554Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,535 across 19 hospitalsPA$1,535New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $15,070 across 26 hospitalsCA$15,070Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 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: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,703 across 13 hospitalsOK$1,703Louisiana: 3 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: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $7,607 across 21 hospitalsTX$7,607Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,689. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA26$15,070+221%$6,914 – $15,070
New York NY21$8,454+80%$3,129 – $8,613
Texas TX21$7,607+62%$6,911 – $7,607
New Jersey NJ22$6,311+35%$4,881 – $7,914
Minnesota MN13$4,6920%$3,302 – $4,692
Iowa IA15$2,554−46%$2,554 – $2,554
Illinois IL11$1,878−60%$1,143 – $2,554
Michigan MI17$1,716−63%$1,491 – $9,978
Oklahoma OK13$1,703−64%$1,703 – $9,511
Pennsylvania PA19$1,535−67%$643 – $12,077
Ohio OH9not enough hospitals filed a usable price
Wisconsin WI9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not 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
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 $4,689.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care240$5,050$1,703 – $9,978
Children’s6fewer than 20 hospitals
Critical access46$3,425$1,716 – $5,807
Ownership
For-profit33$4,809$1,143 – $11,775
Government36$2,714$1,692 – $8,454
Non-profit223$4,692$1,703 – $9,388
System affiliation
Part of a system239$5,110$1,703 – $9,978
Independent53$2,403$1,538 – $7,333

Cash price vs list price

Median list price (chargemaster)$4,281
Median cash price$4,689
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 $3,669 and the average of the middle 60% is $4,626; most fall between $1,669 and $11,148.

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
$1,143$1,703$3,669$9,511$15,070

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($1,143 vs $15,070).

Of the 174 hospitals that filed this code inpatient, 157 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 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 318 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 here17
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 — excluded7
Hospitals that filed this code318

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 Revj Arthrp W/Removal Implant Wrist Joint.

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, “Redo wrist replacement with removal of the implant (CPT 25449) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-25449-redo-wrist-replacement-with-removal-of-the-implant