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Procedure price report · Other fracture and dislocation procedure

Setting a dislocated thumb joint at the base without surgery

CPT 26641the billing code this page is about

Nonsurgical treatment of a dislocated joint at the base of the thumb, where the thumb is manually moved back into place.

Hospitals typically charge $484 cash for this outpatient procedure — the median across 1,728 hospitals that filed a usable cash price; the average of the middle 60% is $512. Most fall between $266 and $893 (20th–80th percentile).

Hospitals
1,728
States
49
Filings dated
Aug 2022 – 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 1,728 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
$181$284$484$794$1,210

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($181 vs $1,210).

How the prices are spread

$116 – $151: 28 hospitals$116$151 – $196: 77 hospitals$196 – $255: 129 hospitals$196$255 – $331: 211 hospitals$331 – $431: 233 hospitals$331$431 – $560: 237 hospitals$560 – $728: 238 hospitals$560$728 – $946: 200 hospitals$946 – $1,230: 120 hospitals$946$1,230 – $1,599: 84 hospitals$1,230median $484price bands are equal on a log scale
Hospitals per price band (1,557 of 1,728 — the bands cover the 5th to 95th percentile)
FromToHospitals
$116$15128
$151$19677
$196$255129
$255$331211
$331$431233
$431$560237
$560$728238
$728$946200
$946$1,230120
$1,230$1,59984

Against Medicare

Medicare pays (OPPS 2026, national rate)$252
Median cash price$484
Cash as a multiple of Medicare1.92×

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 $484.

Alaska: median $565 across 12 hospitalsAK$565Maine: median $370 across 18 hospitalsME$370Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $280 across 15 hospitalsNH$280Washington: median $662 across 54 hospitalsWA$662Idaho: median $670 across 13 hospitalsID$670Montana: median $557 across 14 hospitalsMT$557North Dakota: median $450 across 18 hospitalsND$450Minnesota: median $488 across 43 hospitalsMN$488Illinois: median $533 across 78 hospitalsIL$533Wisconsin: median $514 across 54 hospitalsWI$514Michigan: median $619 across 48 hospitalsMI$619New York: median $545 across 80 hospitalsNY$545Massachusetts: median $613 across 35 hospitalsMA$613Oregon: median $834 across 38 hospitalsOR$834Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: median $530 across 10 hospitalsWY$530South Dakota: median $628 across 17 hospitalsSD$628Iowa: median $514 across 48 hospitalsIA$514Indiana: median $394 across 31 hospitalsIN$394Ohio: median $457 across 58 hospitalsOH$457Pennsylvania: median $413 across 78 hospitalsPA$413New Jersey: median $977 across 37 hospitalsNJ$977Connecticut: median $415 across 14 hospitalsCT$415Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $644 across 114 hospitalsCA$644Utah: median $416 across 29 hospitalsUT$416Colorado: median $544 across 39 hospitalsCO$544Nebraska: median $501 across 41 hospitalsNE$501Missouri: median $475 across 31 hospitalsMO$475Kentucky: median $394 across 21 hospitalsKY$394West Virginia: median $421 across 26 hospitalsWV$421Virginia: median $173 across 48 hospitalsVA$173Maryland: no hospital in the corpus filed a usable priceMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $310 across 18 hospitalsNM$310Kansas: median $470 across 43 hospitalsKS$470Arkansas: median $241 across 14 hospitalsAR$241Tennessee: median $72 across 25 hospitalsTN$72North Carolina: median $345 across 32 hospitalsNC$345South Carolina: median $421 across 35 hospitalsSC$421Oklahoma: median $405 across 47 hospitalsOK$405Louisiana: median $241 across 34 hospitalsLA$241Mississippi: median $171 across 31 hospitalsMS$171Alabama: median $338 across 16 hospitalsAL$338Georgia: median $549 across 37 hospitalsGA$549Hawaii: median $670 across 13 hospitalsHI$670Texas: median $490 across 124 hospitalsTX$490Florida: median $735 across 61 hospitalsFL$735
Cash price by state, most expensive first. National median $484. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ37$977+102%$283 – $4,881
Oregon OR38$834+72%$667 – $1,093
Florida FL61$735+52%$420 – $1,492
Hawaii HI13$670+38%$573 – $905
Idaho ID13$670+38%$279 – $809
Washington WA54$662+37%$367 – $917
California CA114$644+33%$347 – $1,148
South Dakota SD17$628+30%$415 – $689
Michigan MI48$619+28%$327 – $893
Massachusetts MA35$613+27%$402 – $1,114
Alaska AK12$565+17%$231 – $1,605
Montana MT14$557+15%$293 – $983
Georgia GA37$549+13%$169 – $806
New York NY80$545+13%$284 – $853
Colorado CO39$544+12%$315 – $1,299
Illinois IL78$533+10%$270 – $944
Wyoming WY10$530+10%$386 – $680
Iowa IA48$514+6%$272 – $775
Wisconsin WI54$514+6%$337 – $1,597
Nebraska NE41$501+4%$377 – $944
Texas TX124$490+1%$267 – $818
Minnesota MN43$488+1%$217 – $699
Missouri MO31$475−2%$193 – $669
Kansas KS43$470−3%$328 – $1,035
Ohio OH58$457−6%$273 – $717
North Dakota ND18$450−7%$246 – $655
West Virginia WV26$421−13%$284 – $649
South Carolina SC35$421−13%$305 – $518
Utah UT29$416−14%$326 – $466
Connecticut CT14$415−14%$260 – $1,291
Pennsylvania PA78$413−15%$242 – $1,421
Oklahoma OK47$405−16%$231 – $668
Indiana IN31$394−19%$284 – $747
Kentucky KY21$394−19%$250 – $558
Maine ME18$370−24%$243 – $777
North Carolina NC32$345−29%$270 – $616
Alabama AL16$338−30%$220 – $634
New Mexico NM18$310−36%$243 – $558
New Hampshire NH15$280−42%$143 – $426
Arkansas AR14$241−50%$156 – $496
Louisiana LA34$241−50%$123 – $433
Virginia VA48$173−64%$143 – $428
Mississippi MS31$171−65%$100 – $298
Tennessee TN25$72−85%$67 – $384
Arizona AZ9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Delaware DE3not 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 $484.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,232$470$263 – $874
Children’s31$685$348 – $1,104
Critical access463$501$274 – $869
Ownership
For-profit163$508$248 – $920
Government319$476$266 – $806
Non-profit1,244$484$268 – $896
System affiliation
Part of a system1,389$484$266 – $891
Independent339$480$259 – $897

Cash price vs list price

Median list price (chargemaster)$802
Median cash price$484
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

1,311 hospitals filed a usable inpatient cash price for this code. The median is $484 and the average of the middle 60% is $511; most fall between $270 and $875.

Cash price percentiles, inpatient, across 1,311 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
$173$294$484$765$1,164

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($173 vs $1,164).

Of the 1,406 hospitals that filed this code inpatient, 1,311 gave a usable cash price; 33 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 62 a list price only.

How complete is this

1,728 of the 3,956 hospitals with a price file in our corpus (44%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,856 hospitals that filed this code at all gave us
Usable cash price — counted1,728
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded69
Hospitals that filed this code1,856

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 Other fracture and dislocation procedure family.

Hospitals file this code under descriptions such as Cltx Carpo/Metacarpal Dislocation Thumb W/Manj.

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, “Setting a dislocated thumb joint at the base without surgery (CPT 26641) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-26641-setting-a-dislocated-thumb-joint-at-the-base-without-surgery