Procedure price report · Other OR therapeutic procedures on bone

Cutting and realigning a hand bone, each bone

CPT code CPT 26565the billing code this page is about

Surgery that cuts a metacarpal bone in the hand to correct its angle or position; billed once for each bone treated.

Hospitals typically charge $2,614 cash for this outpatient procedure — the median across 372 hospitals that filed a usable cash price; the average of the middle 60% is $2,835. Most fall between $1,161 and $5,741 (20th–80th percentile).

Hospitals
372
States
43
Filings dated
Mar 2023 – 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 372 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
$727$1,279$2,614$4,637$9,441

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($727 vs $9,441).

How the prices are spread

$517 – $692: 10 hospitals$517$692 – $926: 22 hospitals$926 – $1,240: 37 hospitals$926$1,240 – $1,660: 36 hospitals$1,660 – $2,223: 41 hospitals$1,660$2,223 – $2,976: 34 hospitals$2,976 – $3,985: 42 hospitals$2,976$3,985 – $5,336: 53 hospitals$5,336 – $7,144: 29 hospitals$5,336$7,144 – $9,565: 32 hospitals$7,144median $2,614price bands are equal on a log scale
Hospitals per price band (336 of 372 — the bands cover the 5th to 95th percentile)
FromToHospitals
$517$69210
$692$92622
$926$1,24037
$1,240$1,66036
$1,660$2,22341
$2,223$2,97634
$2,976$3,98542
$3,985$5,33653
$5,336$7,14429
$7,144$9,56532

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,614
Cash as a multiple of Medicare0.78×

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 $2,614.

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: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $4,193 across 11 hospitalsID$4,193Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,328 across 15 hospitalsIL$1,328Wisconsin: median $2,544 across 11 hospitalsWI$2,544Michigan: median $1,471 across 12 hospitalsMI$1,471New York: median $3,840 across 26 hospitalsNY$3,840Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,801 across 13 hospitalsOR$1,801Nevada: 3 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 $1,696 across 20 hospitalsIA$1,696Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,797 across 15 hospitalsOH$1,797Pennsylvania: median $2,382 across 21 hospitalsPA$2,382New Jersey: median $4,330 across 29 hospitalsNJ$4,330Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $9,565 across 35 hospitalsCA$9,565Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 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: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,161 across 14 hospitalsOK$1,161Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,352 across 23 hospitalsTX$4,352Florida: median $4,637 across 14 hospitalsFL$4,637
Cash price by state, most expensive first. National median $2,614. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA35$9,565+266%$1,895 – $9,565
Florida FL14$4,637+77%$3,257 – $11,342
Texas TX23$4,352+66%$2,241 – $4,352
New Jersey NJ29$4,330+66%$3,594 – $5,419
Idaho ID11$4,193+60%$3,524 – $8,372
New York NY26$3,840+47%$2,317 – $4,084
Wisconsin WI11$2,544−3%$2,544 – $2,978
Pennsylvania PA21$2,382−9%$457 – $5,038
Oregon OR13$1,801−31%$1,315 – $2,414
Ohio OH15$1,797−31%$1,510 – $7,614
Iowa IA20$1,696−35%$1,335 – $1,696
Michigan MI12$1,471−44%$1,084 – $4,499
Illinois IL15$1,328−49%$727 – $2,835
Oklahoma OK14$1,161−56%$1,161 – $6,615
Georgia GA8not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Massachusetts MA1not 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 $2,614.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care295$3,257$1,161 – $5,960
Children’s15fewer than 20 hospitals
Critical access61$1,895$1,196 – $4,297
Ownership
For-profit46$3,524$962 – $6,588
Government76$1,748$1,219 – $4,637
Non-profit249$2,728$1,161 – $5,741
System affiliation
Part of a system283$3,161$1,161 – $5,960
Independent89$2,107$1,159 – $4,297

Cash price vs list price

Median list price (chargemaster)$2,756
Median cash price$2,614
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

195 hospitals filed a usable inpatient cash price for this code. The median is $1,696 and the average of the middle 60% is $2,339; most fall between $1,084 and $5,038.

Cash price percentiles, inpatient, across 195 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
$727$1,161$1,696$4,637$9,140

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($727 vs $9,140).

Of the 210 hospitals that filed this code inpatient, 195 gave a usable cash price; 5 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

372 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 407 hospitals that filed this code at all gave us
Usable cash price — counted372
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded12
Hospitals that filed this code407

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.

Hospitals file this code under descriptions such as Osteotomy Metacarpal Each.

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 a hand bone, each bone (CPT 26565) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-26565-cutting-and-realigning-a-hand-bone-each-bone