Procedure price report · Other fracture and dislocation procedure

Pinning a broken thumb base through the skin

CPT code CPT 26650the billing code this page is about

Repositioning of a fracture-dislocation at the base of the thumb, held with pins or wires placed through the skin instead of an open incision.

Hospitals typically charge $2,052 cash for this outpatient procedure — the median across 592 hospitals that filed a usable cash price; the average of the middle 60% is $2,274. Most fall between $856 and $4,738 (20th–80th percentile).

Hospitals
592
States
47
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 592 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
$616$925$2,052$4,043$6,672

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($616 vs $6,672).

How the prices are spread

$516 – $702: 43 hospitals$516$702 – $953: 80 hospitals$953 – $1,295: 67 hospitals$953$1,295 – $1,760: 69 hospitals$1,760 – $2,392: 29 hospitals$1,760$2,392 – $3,251: 71 hospitals$3,251 – $4,417: 65 hospitals$3,251$4,417 – $6,003: 66 hospitals$6,003 – $8,157: 28 hospitals$6,003$8,157 – $11,085: 16 hospitals$8,157median $2,052price bands are equal on a log scale
Hospitals per price band (534 of 592 — the bands cover the 5th to 95th percentile)
FromToHospitals
$516$70243
$702$95380
$953$1,29567
$1,295$1,76069
$1,760$2,39229
$2,392$3,25171
$3,251$4,41765
$4,417$6,00366
$6,003$8,15728
$8,157$11,08516

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,052
Cash as a multiple of Medicare0.61×

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 $2,052.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $1,187 across 10 hospitalsVT$1,187New Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,193 across 12 hospitalsWA$1,193Idaho: median $5,436 across 14 hospitalsID$5,436Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,265 across 19 hospitalsMN$2,265Illinois: median $907 across 16 hospitalsIL$907Wisconsin: median $2,701 across 31 hospitalsWI$2,701Michigan: median $856 across 35 hospitalsMI$856New York: median $3,343 across 35 hospitalsNY$3,343Massachusetts: median $10,075 across 13 hospitalsMA$10,075Oregon: median $1,205 across 19 hospitalsOR$1,205Nevada: 5 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 $1,176 across 22 hospitalsIA$1,176Indiana: median $605 across 11 hospitalsIN$605Ohio: median $1,391 across 17 hospitalsOH$1,391Pennsylvania: median $2,382 across 24 hospitalsPA$2,382New Jersey: median $3,821 across 33 hospitalsNJ$3,821Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,509 across 57 hospitalsCA$2,509Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,697 across 11 hospitalsMO$2,697Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 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: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,003 across 12 hospitalsKS$1,003Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 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: median $6,672 across 13 hospitalsSC$6,672Oklahoma: median $786 across 14 hospitalsOK$786Louisiana: median $2,088 across 12 hospitalsLA$2,088Mississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $4,433 across 10 hospitalsAL$4,433Georgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,738 across 28 hospitalsTX$4,738Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,052. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA13$10,075+391%$3,540 – $10,075
South Carolina SC13$6,672+225%$5,416 – $6,672
Idaho ID14$5,436+165%$3,170 – $8,372
Texas TX28$4,738+131%$2,794 – $5,052
Alabama AL10$4,433+116%$1,343 – $10,253
New Jersey NJ33$3,821+86%$3,546 – $5,419
New York NY35$3,343+63%$827 – $3,840
Wisconsin WI31$2,701+32%$2,443 – $3,641
Missouri MO11$2,697+31%$741 – $14,038
California CA57$2,509+22%$1,421 – $2,509
Pennsylvania PA24$2,382+16%$318 – $5,486
Minnesota MN19$2,265+10%$1,020 – $2,299
Louisiana LA12$2,088+2%$1,077 – $5,299
Ohio OH17$1,391−32%$813 – $3,080
Oregon OR19$1,205−41%$912 – $1,629
Washington WA12$1,193−42%$842 – $3,977
Vermont VT10$1,187−42%$727 – $1,445
Iowa IA22$1,176−43%$922 – $1,176
Kansas KS12$1,003−51%$907 – $1,310
Illinois IL16$907−56%$605 – $2,466
Michigan MI35$856−58%$810 – $2,701
Oklahoma OK14$786−62%$786 – $6,615
Indiana IN11$605−71%$605 – $3,019
Georgia GA9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $2,052.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care438$2,509$872 – $5,317
Children’s21$12,739$1,343 – $15,937
Critical access133$1,193$791 – $2,701
Ownership
For-profit68$3,605$1,063 – $8,440
Government97$1,276$842 – $3,840
Non-profit427$2,088$845 – $4,738
System affiliation
Part of a system457$2,443$856 – $5,038
Independent135$1,421$816 – $3,699

Cash price vs list price

Median list price (chargemaster)$2,320
Median cash price$2,052
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

299 hospitals filed a usable inpatient cash price for this code. The median is $1,472 and the average of the middle 60% is $2,011; most fall between $765 and $4,738.

Cash price percentiles, inpatient, across 299 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
$577$806$1,472$3,504$6,114

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($577 vs $6,114).

Of the 330 hospitals that filed this code inpatient, 299 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

592 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 645 hospitals that filed this code at all gave us
Usable cash price — counted592
Cash price carrying a plausibility flag — shown on the compare tool, excluded here40
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 code645

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.

Hospitals file this code under descriptions such as Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb.

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, “Pinning a broken thumb base through the skin (CPT 26650) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-26650-pinning-a-broken-thumb-base-through-the-skin