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Procedure price report · Other fracture and dislocation procedure

Setting a broken and dislocated thumb base without surgery

CPT 26645the billing code this page is about

Nonsurgical treatment of a fracture with dislocation at the base of the thumb, with the bone manually moved back into position.

Hospitals typically charge $1,196 cash for this outpatient procedure — the median across 1,308 hospitals that filed a usable cash price; the average of the middle 60% is $1,309. Most fall between $630 and $2,328 (20th–80th percentile).

Hospitals
1,308
States
49
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 1,308 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
$442$723$1,196$2,007$3,463

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($442 vs $3,463).

How the prices are spread

$309 – $405: 48 hospitals$309$405 – $532: 87 hospitals$532 – $698: 109 hospitals$532$698 – $915: 156 hospitals$915 – $1,200: 195 hospitals$915$1,200 – $1,574: 152 hospitals$1,574 – $2,065: 182 hospitals$1,574$2,065 – $2,708: 117 hospitals$2,708 – $3,552: 71 hospitals$2,708$3,552 – $4,659: 61 hospitals$3,552median $1,196price bands are equal on a log scale
Hospitals per price band (1,178 of 1,308 — the bands cover the 5th to 95th percentile)
FromToHospitals
$309$40548
$405$53287
$532$698109
$698$915156
$915$1,200195
$1,200$1,574152
$1,574$2,065182
$2,065$2,708117
$2,708$3,55271
$3,552$4,65961

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$1,196
Cash as a multiple of Medicare0.73×

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 $1,196.

Alaska: median $1,277 across 10 hospitalsAK$1,277Maine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $482 across 10 hospitalsVT$482New Hampshire: median $377 across 10 hospitalsNH$377Washington: median $934 across 44 hospitalsWA$934Idaho: median $897 across 12 hospitalsID$897Montana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $1,609 across 11 hospitalsND$1,609Minnesota: median $1,117 across 28 hospitalsMN$1,117Illinois: median $1,180 across 61 hospitalsIL$1,180Wisconsin: median $1,745 across 42 hospitalsWI$1,745Michigan: median $1,187 across 42 hospitalsMI$1,187New York: median $2,007 across 63 hospitalsNY$2,007Massachusetts: median $1,142 across 25 hospitalsMA$1,142Oregon: median $1,474 across 32 hospitalsOR$1,474Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $817 across 36 hospitalsIA$817Indiana: median $969 across 14 hospitalsIN$969Ohio: median $1,747 across 44 hospitalsOH$1,747Pennsylvania: median $1,581 across 42 hospitalsPA$1,581New Jersey: median $3,786 across 28 hospitalsNJ$3,786Connecticut: median $1,318 across 11 hospitalsCT$1,318Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,337 across 110 hospitalsCA$1,337Utah: median $891 across 26 hospitalsUT$891Colorado: median $1,214 across 26 hospitalsCO$1,214Nebraska: median $1,029 across 25 hospitalsNE$1,029Missouri: median $789 across 22 hospitalsMO$789Kentucky: median $735 across 15 hospitalsKY$735West Virginia: median $1,063 across 12 hospitalsWV$1,063Virginia: median $997 across 43 hospitalsVA$997Maryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $512 across 14 hospitalsAZ$512New Mexico: median $586 across 10 hospitalsNM$586Kansas: median $531 across 22 hospitalsKS$531Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $723 across 28 hospitalsTN$723North Carolina: median $754 across 28 hospitalsNC$754South Carolina: median $1,139 across 24 hospitalsSC$1,139Oklahoma: median $663 across 26 hospitalsOK$663Louisiana: median $598 across 27 hospitalsLA$598Mississippi: median $622 across 27 hospitalsMS$622Alabama: median $741 across 11 hospitalsAL$741Georgia: median $3,027 across 35 hospitalsGA$3,027Hawaii: median $2,594 across 12 hospitalsHI$2,594Texas: median $1,512 across 105 hospitalsTX$1,512Florida: median $2,401 across 46 hospitalsFL$2,401
Cash price by state, most expensive first. National median $1,196. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ28$3,786+217%$1,771 – $5,741
Georgia GA35$3,027+153%$728 – $3,152
Hawaii HI12$2,594+117%$1,455 – $3,742
Florida FL46$2,401+101%$964 – $5,571
New York NY63$2,007+68%$1,013 – $4,136
Ohio OH44$1,747+46%$981 – $2,772
Wisconsin WI42$1,745+46%$1,126 – $2,482
North Dakota ND11$1,609+35%$813 – $2,414
Pennsylvania PA42$1,581+32%$206 – $3,447
Texas TX105$1,512+26%$863 – $2,021
Oregon OR32$1,474+23%$858 – $2,160
California CA110$1,337+12%$1,006 – $3,075
Connecticut CT11$1,318+10%$936 – $2,635
Alaska AK10$1,277+7%$555 – $2,434
Colorado CO26$1,214+1%$768 – $4,181
Michigan MI42$1,187−1%$442 – $2,211
Illinois IL61$1,180−1%$536 – $1,340
Massachusetts MA25$1,142−5%$725 – $2,001
South Carolina SC24$1,139−5%$1,139 – $2,268
Minnesota MN28$1,117−7%$683 – $1,494
West Virginia WV12$1,063−11%$422 – $2,044
Nebraska NE25$1,029−14%$527 – $1,166
Virginia VA43$997−17%$598 – $2,030
Indiana IN14$969−19%$445 – $1,579
Washington WA44$934−22%$644 – $3,142
Idaho ID12$897−25%$659 – $4,436
Utah UT26$891−25%$864 – $1,006
Iowa IA36$817−32%$401 – $1,055
Missouri MO22$789−34%$641 – $1,414
North Carolina NC28$754−37%$725 – $1,512
Alabama AL11$741−38%$538 – $1,435
Kentucky KY15$735−39%$436 – $1,816
Tennessee TN28$723−40%$386 – $1,148
Oklahoma OK26$663−45%$663 – $1,934
Mississippi MS27$622−48%$380 – $964
Louisiana LA27$598−50%$230 – $1,602
New Mexico NM10$586−51%$469 – $1,584
Kansas KS22$531−56%$328 – $951
Arizona AZ14$512−57%$512 – $1,255
Vermont VT10$482−60%$270 – $1,289
New Hampshire NH10$377−68%$250 – $958
Nevada NV8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Delaware DE1not 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 $1,196.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,003$1,314$690 – $2,434
Children’s28$962$572 – $2,021
Critical access275$897$469 – $1,745
Ownership
For-profit135$1,435$647 – $2,482
Government225$1,003$538 – $1,894
Non-profit946$1,230$644 – $2,401
System affiliation
Part of a system1,080$1,230$659 – $2,401
Independent228$1,040$485 – $1,981

Cash price vs list price

Median list price (chargemaster)$2,000
Median cash price$1,196
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

1,026 hospitals filed a usable inpatient cash price for this code. The median is $1,148 and the average of the middle 60% is $1,332; most fall between $663 and $2,482.

Cash price percentiles, inpatient, across 1,026 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
$445$746$1,148$2,126$3,647

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($445 vs $3,647).

Of the 1,093 hospitals that filed this code inpatient, 1,026 gave a usable cash price; 27 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 40 a list price only.

How complete is this

1,308 of the 3,956 hospitals with a price file in our corpus (33%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,395 hospitals that filed this code at all gave us
Usable cash price — counted1,308
Cash price carrying a plausibility flag — shown on the compare tool, excluded here41
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 — excluded45
Hospitals that filed this code1,395

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 Fx Dislc 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 broken and dislocated thumb base without surgery (CPT 26645) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-26645-setting-a-broken-and-dislocated-thumb-base-without-surgery