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Elbow (olecranon) fracture fixation: what insurers pay

Fixing a broken point of the elbow. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 24685: Elbow (Olecranon) Fracture Fixation

1074 hospitals in 78 markets. National Medicare rate $7,413, surgery center $4,719.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)13$7,529$8,177$9,627$3,284–$18,846
Alaska (statewide)4———$4,434–$15,704
Arizona (statewide)11$5,405$7,488$8,306$4,465–$10,200
Arkansas (statewide)9$6,466$6,819$7,322$4,000–$9,874
Atlanta GA6$6,285$6,285$9,385$6,285–$10,418
Austin TX13$5,743$8,874$8,874$5,743–$10,637
Boston MA11$9,188$11,926$12,708$6,518–$14,320
California (statewide)60$9,832$16,492$23,321$5,367–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL7$9,164$10,014$14,716$6,180–$16,851
Cleveland OH10$7,551$8,285$11,591$7,208–$14,416
Colorado (statewide)14$8,254$10,967$11,757$7,144–$15,141
Connecticut (statewide)1———$5,370–$5,370
Dallas-Fort Worth TX12$8,993$10,642$12,240$8,024–$26,538
Denver CO15$8,525$9,346$14,284$6,866–$15,141
Detroit MI16$5,311$7,306$9,407$3,790–$12,862
Florida (statewide)62$10,532$11,590$13,658$4,068–$18,426
Georgia (statewide)27$6,726$9,172$11,527$4,141–$21,689
Hawaii (statewide)3———$6,234–$8,902
Houston TX19$7,535$9,493$9,894$5,549–$13,850
Idaho (statewide)13$7,332$16,130$18,145$6,615–$21,676
Illinois (statewide)23$7,922$12,287$14,716$5,474–$21,223
Indiana (statewide)27$10,538$15,456$29,886$5,900–$38,188
Indianapolis IN1———$18,846–$18,846
Iowa (statewide)16$9,178$12,533$15,562$7,413–$22,020
Kansas (statewide)14$4,402$6,454$9,306$3,839–$15,704
Kentucky (statewide)13$4,396$8,612$9,425$3,467–$13,434
Las Vegas NV2———$7,352–$10,032
Los Angeles CA17$10,395$10,688$12,514$10,072–$22,055
Louisiana (statewide)24$7,022$8,261$9,591$5,982–$12,908
Maine (statewide)16$29,272$33,220$33,984$15,489–$42,727
Maryland (statewide)1———$4,896–$4,896
Massachusetts (statewide)5$7,176$8,493$9,070$6,518–$10,392
Miami-Fort Lauderdale FL1———$12,334–$12,334
Michigan (statewide)27$6,397$7,292$8,969$4,056–$12,953
Minneapolis-St. Paul MN9$8,918$8,918$10,623$6,257–$15,377
Minnesota (statewide)13$8,918$19,037$23,016$8,768–$31,617
Mississippi (statewide)15$8,695$9,666$10,386$6,136–$19,790
Missouri (statewide)17$6,290$6,897$11,456$4,402–$16,982
Montana (statewide)4———$6,181–$21,584
Nashville TN6$3,864$4,645$11,312$3,603–$13,806
Nebraska (statewide)11$8,946$9,296$11,983$7,352–$18,020
Nevada (statewide)4———$7,352–$10,961
New Hampshire (statewide)6$13,255$16,466$22,868$10,042–$32,494
New Jersey (statewide)22$8,320$8,692$12,256$8,289–$14,827
New Mexico (statewide)8$6,711$11,794$15,668$3,678–$21,197
New York (statewide)28$6,996$11,354$14,833$5,148–$24,437
New York City8$5,284$6,620$10,045$5,217–$12,305
North Carolina (statewide)6$8,353$12,746$16,725$6,529–$19,175
North Dakota (statewide)5$11,996$12,358$12,633$10,326–$16,346
Ohio (statewide)37$9,294$16,105$16,456$4,347–$27,890
Oklahoma (statewide)10$9,689$14,812$14,977$4,676–$33,639
Oregon (statewide)9$18,293$20,433$26,231$14,102–$33,060
Pennsylvania (statewide)39$9,857$14,425$23,942$3,551–$33,379
Philadelphia PA11$7,485$7,689$8,256$4,689–$11,208
Phoenix AZ6$4,839$4,839$6,826$4,839–$7,488
Pittsburgh PA8$5,938$11,628$14,791$5,031–$17,980
Portland OR9$16,131$16,131$24,555$14,746–$24,555
Rhode Island (statewide)3———$13,890–$14,799
Richmond VA3———$7,130–$7,208
Rio Grande Valley TX6$9,330$9,382$9,430$9,328–$9,792
Salt Lake City UT9$9,709$10,040$10,040$6,513–$10,372
San Antonio TX3———$6,850–$9,391
San Diego CA7$16,202$16,332$16,332$13,066–$17,210
San Francisco Bay Area CA4———$8,476–$32,856
Seattle-Tacoma WA16$18,960$19,727$25,275$16,482–$28,676
South Carolina (statewide)19$9,946$14,554$16,638$7,352–$20,564
South Dakota (statewide)2———$10,499–$11,089
St. Louis MO6$6,188$6,188$6,188$5,638–$8,358
Tampa FL6$13,658$13,658$13,658$11,760–$14,206
Tennessee (statewide)25$4,645$6,913$8,384$3,603–$14,573
Texas (statewide)76$7,472$9,112$13,865$4,299–$32,884
Utah (statewide)6$6,880$8,846$9,709$6,513–$10,040
Virginia (statewide)20$15,835$21,156$23,710$10,750–$26,244
Washington (statewide)11$18,241$20,803$26,056$7,334–$37,385
Washington DC9$8,918$11,413$11,413$7,208–$11,413
West Virginia (statewide)4———$6,185–$48,308
Wisconsin (statewide)30$12,346$12,346$14,345$4,959–$21,623

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3,2840.5×12026-04-30
Usa Health University HospitalAlabama (statewide)$3,4640.5×12026-04-30
King'S Daughters' Medical CenterKentucky (statewide)$3,4670.5×22026-09-25
Upmc ColePennsylvania (statewide)$3,5510.5×12026-03-06
Tristar Horizon Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
TriStar Hendersonville Medical CenterNashville TN$3,6030.5×52026-09-01
TriStar StoneCrest Medical CenterNashville TN$3,6030.5×52026-09-01
Tristar Ashland City Medical CenterTennessee (statewide)$3,6030.5×52026-09-01
Cibola General HospitalNew Mexico (statewide)$3,6780.5×12026-09-27
Henry Ford Health -St John HospitalDetroit MI$3,7900.5×12026-01-01
Russell Regional HospitalKansas (statewide)$3,8390.6×12026-06-01
Chi Saint Joseph Berea NfKentucky (statewide)$3,9750.6×12026-02-28
Northern Light Mercy HospitalMaine (statewide)$33,9844.6×22026-04-15
Northern Light Blue Hill Memorial HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light C A Dean HospitalMaine (statewide)$33,9844.8×22026-03-30
Northern Light Sebasticook Valley HospitalMaine (statewide)$33,9844.8×22026-03-30
Parkview Lagrange HospitalIndiana (statewide)$34,4754.5×12026-09-01
Mainehealth Waldo HospitalMaine (statewide)$35,0994.9×12025-09-09
Parkview Whitley HospitalIndiana (statewide)$35,2714.6×12026-09-01
Northern Light Mayo HospitalMaine (statewide)$35,7925.0×22026-03-30
Mary Bridge Children'S HospitalWashington (statewide)$37,3854.4×52026-08-27
Parkview Wabash Hospital, IncIndiana (statewide)$38,1885.0×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$42,7276.0×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$48,3086.9×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for elbow (olecranon) fracture fixation?

Across 1074 hospitals in 78 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 24685, hospital outpatient is $10,485, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,582 to $15,371. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for elbow (olecranon) fracture fixation?

Medicare's national hospital outpatient rate for CPT 24685 is $7,413 and its surgery-center rate is $4,719, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for elbow (olecranon) fracture fixation?

Lowest medians: Usa Health Children'S & Women'S Hospital ($3,284), Usa Health University Hospital ($3,464), King'S Daughters' Medical Center ($3,467). Highest: Logan Regional Medical Center ($48,308), Mainehealth Lincoln Hospital ($42,727), Parkview Wabash Hospital, Inc ($38,188). Coverage: every hospital whose price file we could read.