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Procedure price report · Other fracture and dislocation procedure

Open surgery for a complex or delayed hand joint dislocation

CPT 26686the billing code this page is about

Surgery through an incision for a dislocation where hand bones meet the wrist that is complex, involves multiple joints, or is treated after a delay.

Hospitals typically charge $2,821 cash for this outpatient procedure — the median across 327 hospitals that filed a usable cash price; the average of the middle 60% is $3,271. Most fall between $1,105 and $7,151 (20th–80th percentile).

Hospitals
327
States
44
Filings dated
Jun 2024 – 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 327 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
$700$1,205$2,821$5,855$7,969

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($700 vs $7,969).

How the prices are spread

$537 – $719: 17 hospitals$537$719 – $964: 10 hospitals$964 – $1,291: 44 hospitals$964$1,291 – $1,730: 35 hospitals$1,730 – $2,318: 29 hospitals$1,730$2,318 – $3,105: 17 hospitals$3,105 – $4,161: 40 hospitals$3,105$4,161 – $5,575: 27 hospitals$5,575 – $7,469: 29 hospitals$5,575$7,469 – $10,007: 47 hospitals$7,469median $2,821price bands are equal on a log scale
Hospitals per price band (295 of 327 — the bands cover the 5th to 95th percentile)
FromToHospitals
$537$71917
$719$96410
$964$1,29144
$1,291$1,73035
$1,730$2,31829
$2,318$3,10517
$3,105$4,16140
$4,161$5,57527
$5,575$7,46929
$7,469$10,00747

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$2,821
Cash as a multiple of Medicare0.84×

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 $2,821.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,171 across 11 hospitalsIL$1,171Wisconsin: median $5,751 across 14 hospitalsWI$5,751Michigan: median $2,669 across 14 hospitalsMI$2,669New York: median $3,840 across 24 hospitalsNY$3,840Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,924 across 11 hospitalsOR$1,924Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $1,532 across 17 hospitalsIA$1,532Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,124 across 14 hospitalsOH$2,124Pennsylvania: median $479 across 18 hospitalsPA$479New Jersey: median $3,986 across 24 hospitalsNJ$3,986Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,969 across 34 hospitalsCA$7,969Utah: 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: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 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 $1,032 across 13 hospitalsOK$1,032Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $7,493 across 22 hospitalsTX$7,493Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,821. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA34$7,969+182%$1,845 – $7,969
Texas TX22$7,493+166%$2,653 – $7,493
Wisconsin WI14$5,751+104%$5,751 – $7,151
New Jersey NJ24$3,986+41%$3,591 – $5,741
New York NY24$3,840+36%$1,876 – $4,084
Michigan MI14$2,669−5%$1,181 – $4,499
Ohio OH14$2,124−25%$1,174 – $2,840
Oregon OR11$1,924−32%$1,165 – $2,079
Iowa IA17$1,532−46%$1,532 – $1,745
Illinois IL11$1,171−58%$479 – $1,532
Oklahoma OK13$1,032−63%$1,032 – $6,615
Pennsylvania PA18$479−83%$390 – $5,486
Georgia GA9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Kentucky KY1not 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 $2,821.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care271$3,546$1,105 – $7,493
Children’s8fewer than 20 hospitals
Critical access48$2,079$1,203 – $7,151
Ownership
For-profit34$3,807$656 – $9,441
Government51$1,759$1,142 – $3,840
Non-profit242$3,312$1,105 – $7,151
System affiliation
Part of a system257$3,804$1,105 – $7,493
Independent70$1,702$1,067 – $4,015

Cash price vs list price

Median list price (chargemaster)$2,599
Median cash price$2,821
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

186 hospitals filed a usable inpatient cash price for this code. The median is $2,382 and the average of the middle 60% is $3,532; most fall between $1,032 and $7,906.

Cash price percentiles, inpatient, across 186 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
$709$1,165$2,382$7,493$7,969

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($709 vs $7,969).

Of the 205 hospitals that filed this code inpatient, 186 gave a usable cash price; 13 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

327 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 365 hospitals that filed this code at all gave us
Usable cash price — counted327
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
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 — excluded6
Hospitals that filed this code365

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.

Related procedures

Part of the Other fracture and dislocation procedure family.

Hospitals file this code under descriptions such as Optx Carp/Mtcrpl Dislc Thmb Cplx Mlt/Dlyd Rdctj.

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, “Open surgery for a complex or delayed hand joint dislocation (CPT 26686) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-26686-open-surgery-for-a-complex-or-delayed-hand-joint-dislocation