Price AtlasInteractive atlas · All states · techysurgeon.comHand bone fracture fixation: what insurers pay
Fixing a broken hand (metacarpal) bone with pins, plate or screws. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 26615: Treat Metacarpal Fracture
93 hospitals in 33 markets. National Medicare rate $3,343, surgery center $1,645.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $6,495–$6,495 |
| Austin TX | 2 | — | — | — | $2,628–$8,322 |
| Boston MA | 7 | $4,092 | $4,206 | $4,786 | $3,868–$6,288 |
| California (statewide) | 1 | — | — | — | $16,402–$16,402 |
| Chicago IL | 6 | $5,094 | $5,935 | $11,480 | $4,467–$14,396 |
| Cleveland OH | 5 | $6,634 | $7,150 | $7,624 | $3,935–$8,598 |
| Columbus OH | 1 | — | — | — | $11,769–$11,769 |
| Dallas-Fort Worth TX | 4 | — | — | — | $7,665–$15,996 |
| Denver CO | 7 | $4,908 | $5,858 | $6,088 | $3,968–$7,122 |
| Detroit MI | 6 | $5,178 | $5,311 | $5,311 | $4,361–$9,407 |
| Georgia (statewide) | 1 | — | — | — | $6,803–$6,803 |
| Houston TX | 1 | — | — | — | $5,052–$5,052 |
| Indianapolis IN | 1 | — | — | — | $12,804–$12,804 |
| Kansas (statewide) | 1 | — | — | — | $8,656–$8,656 |
| Las Vegas NV | 2 | — | — | — | $2,986–$4,181 |
| Los Angeles CA | 2 | — | — | — | $11,994–$25,517 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $6,257–$6,257 |
| Nashville TN | 4 | — | — | — | $2,307–$4,082 |
| New York City | 3 | — | — | — | $5,618–$12,378 |
| Ohio (statewide) | 1 | — | — | — | $7,042–$7,042 |
| Pennsylvania (statewide) | 1 | — | — | — | $10,897–$10,897 |
| Philadelphia PA | 5 | $5,840 | $9,071 | $9,630 | $5,567–$13,320 |
| Phoenix AZ | 3 | — | — | — | $3,786–$4,714 |
| Pittsburgh PA | 1 | — | — | — | $6,197–$6,197 |
| Portland OR | 6 | $13,746 | $13,746 | $19,885 | $13,746–$21,931 |
| Richmond VA | 2 | — | — | — | $7,619–$7,619 |
| San Antonio TX | 1 | — | — | — | $5,940–$5,940 |
| San Diego CA | 1 | — | — | — | $4,208–$4,208 |
| San Francisco Bay Area CA | 3 | — | — | — | $4,620–$25,576 |
| Seattle-Tacoma WA | 6 | $10,046 | $10,872 | $11,961 | $9,897–$12,938 |
| Tampa FL | 2 | — | — | — | $8,526–$11,624 |
| Washington DC | 4 | — | — | — | $4,209–$6,895 |
| Wisconsin (statewide) | 1 | — | — | — | $8,256–$8,256 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $2,307 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,628 | 0.8× | 1 | 2026-01-01 |
| Henderson Hospital | Las Vegas NV | $2,986 | 0.9× | 4 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,052 | 1.0× | 2 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,232 | 1.0× | 7 | 2025-10-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,786 | 1.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,786 | 1.1× | 5 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $3,868 | 1.0× | 2 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,935 | 1.3× | 4 | 2026-07-14 |
| Adventhealth Porter | Denver CO | $3,968 | 1.1× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $3,968 | 1.1× | 4 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $4,000 | 1.0× | 2 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $4,082 | 1.3× | 5 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $4,181 | 1.2× | 7 | 2026-07-01 |
| New England Baptist Hospital | Boston MA | $4,183 | 1.1× | 4 | 2026-04-01 |
| Winchester Hospital | Boston MA | $4,206 | 1.1× | 3 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $4,208 | 1.0× | 1 | 2026-03-30 |
| George Washington Univ Hospital | Washington DC | $4,209 | 1.1× | 3 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $4,341 | 1.1× | 4 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $4,361 | 1.3× | 16 | 2026-03-31 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,467 | 1.3× | 3 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $4,620 | 1.0× | 1 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $4,620 | 1.0× | 1 | 2026-03-23 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $4,714 | 1.4× | 4 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $4,896 | 1.4× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $5,052 | 1.5× | 6 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $5,134 | 1.6× | 1 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $5,232 | 1.3× | 3 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $5,311 | 1.6× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $5,311 | 1.6× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $5,311 | 1.6× | 1 | 2026-05-01 |
| Riddle Memorial Hospital | Philadelphia PA | $5,567 | 1.7× | 2 | 2026-04-01 |
| Montefiore Medical Center | New York City | $5,618 | 1.4× | 8 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,690 | 1.6× | 2 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $5,840 | 1.7× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $5,849 | 1.7× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $5,858 | 1.7× | 4 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $5,940 | 1.8× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $6,078 | 1.8× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $6,098 | 1.8× | 4 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $6,180 | 1.8× | 3 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $6,197 | 1.9× | 1 | 2026-03-06 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $6,257 | 1.8× | 3 | 2026-03-31 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,288 | 1.6× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $6,495 | 2.0× | 6 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $6,507 | 1.9× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $6,519 | 1.9× | 4 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $6,634 | 2.1× | 2 | 2026-06-15 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $6,803 | 2.4× | 3 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $6,895 | 2.0× | 5 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $7,042 | 2.2× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $7,122 | 2.1× | 3 | 2025-11-01 |
| Medina Hospital | Cleveland OH | $7,150 | 2.3× | 2 | 2026-06-15 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $7,619 | 2.4× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $7,619 | 2.4× | 4 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $7,624 | 2.5× | 1 | 2026-06-16 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $7,665 | 2.3× | 3 | 2026-06-29 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $8,256 | 2.5× | 3 | 2026-01-01 |
| St David's Medical Center | Austin TX | $8,322 | 2.5× | 5 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $8,526 | 2.5× | 3 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $8,598 | 2.8× | 2 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $8,656 | 2.8× | 5 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,071 | 2.5× | 3 | 2026-09-15 |
| Harper University Hospital | Detroit MI | $9,407 | 2.9× | 1 | 2026-09-02 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,630 | 2.9× | 3 | 2026-09-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,880 | 3.0× | 5 | 2026-09-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $9,897 | 2.6× | 5 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $10,002 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $10,179 | 2.7× | 6 | 2026-02-28 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $10,897 | 3.3× | 8 | 2026-07-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $11,080 | 2.7× | 7 | 2026-01-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $11,565 | 3.0× | 5 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $11,624 | 3.4× | 2 | 2026-01-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $11,769 | 3.7× | 20 | 2026-03-31 |
| Medical City Plano | Dallas-Fort Worth TX | $11,960 | 3.6× | 5 | 2026-09-01 |
| Keck Hospital Of Usc | Los Angeles CA | $11,994 | 2.9× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $12,093 | 3.2× | 7 | 2026-08-27 |
| Hospital for Special Surgery | New York City | $12,378 | 3.0× | 6 | 2026-04-01 |
| Riverview Health | Indianapolis IN | $12,804 | 3.7× | 2 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $12,938 | 3.4× | 6 | 2026-08-27 |
| Loyola University Medical Center | Chicago IL | $13,247 | 3.8× | 1 | 2026-03-31 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,320 | 3.6× | 1 | 2026-03-24 |
| Legacy Emanuel Medical Center | Portland OR | $13,746 | 3.8× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $13,746 | 3.8× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $13,746 | 3.8× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $13,746 | 3.8× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $14,396 | 4.1× | 2 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $15,996 | 4.9× | 2 | 2026-04-21 |
| Los Robles Hospital & Medical Center | California (statewide) | $16,402 | 3.9× | 5 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $21,931 | 6.0× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $21,931 | 6.0× | 3 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,517 | 6.1× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $25,576 | 5.3× | 2 | 2026-04-01 |
Questions
How much do commercial insurers pay hospitals for hand bone fracture fixation?
Across 93 hospitals in 33 metro areas that post a usable dollar rate, the median commercial rate for CPT 26615, hospital outpatient is $6,519, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,714 to $10,897. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for hand bone fracture fixation?
Medicare's national hospital outpatient rate for CPT 26615 is $3,343 and its surgery-center rate is $1,645, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for hand bone fracture fixation?
Lowest medians: Ascension Saint Thomas Rutherford ($2,307), Ascension Seton Medical Center Austin ($2,628), Henderson Hospital ($2,986). Highest: Stanford Health Care ($25,576), Cedars-Sinai Medical Center ($25,517), Providence Portland Medical Center ($21,931). Coverage is limited to the markets listed on this page.