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Scaphoid (wrist bone) fracture fixation: what insurers pay

A screw across a broken scaphoid bone in the wrist. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 25628: Scaphoid (Wrist Bone) Fracture Fixation

963 hospitals in 76 markets. National Medicare rate $7,413, surgery center $3,696.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)13$7,529$8,177$9,627$3,284–$18,846
Alaska (statewide)3———$4,909–$16,040
Arizona (statewide)8$4,744$6,044$7,556$4,465–$10,200
Arkansas (statewide)5$5,620$6,078$6,853$4,000–$9,131
Atlanta GA6$6,285$6,285$9,385$6,285–$10,418
Austin TX13$5,743$8,970$8,970$5,743–$10,637
Boston MA11$9,188$11,926$12,708$6,518–$14,320
California (statewide)51$9,875$21,078$27,033$5,367–$27,033
Charlotte NC5$8,493$8,493$8,493$8,377–$8,493
Chicago IL8$9,192$11,630$14,716$6,180–$16,851
Cleveland OH10$7,584$8,285$11,591$7,359–$14,416
Colorado (statewide)13$8,534$11,146$11,882$7,179–$15,141
Connecticut (statewide)1———$5,370–$5,370
Dallas-Fort Worth TX11$9,098$10,642$13,812$8,720–$26,538
Denver CO15$8,837$9,853$14,284$7,200–$15,141
Detroit MI13$5,311$5,311$7,953$4,897–$9,407
Florida (statewide)58$8,666$9,864$12,330$4,068–$16,690
Georgia (statewide)27$6,726$9,172$11,527$4,141–$21,689
Hawaii (statewide)2———$6,487–$8,892
Houston TX19$7,535$9,493$9,894$5,549–$13,850
Idaho (statewide)13$10,642$13,000$18,145$6,615–$21,676
Illinois (statewide)23$7,658$12,287$14,716$5,474–$21,223
Indiana (statewide)20$9,993$17,420$32,602$7,144–$38,188
Indianapolis IN1———$18,846–$18,846
Iowa (statewide)13$9,256$12,511$14,111$7,413–$17,545
Kansas (statewide)11$4,173$6,290$8,697$3,839–$16,040
Kentucky (statewide)13$4,396$8,612$9,425$3,467–$13,434
Las Vegas NV2———$7,352–$9,205
Los Angeles CA17$10,395$10,688$13,065$10,072–$22,055
Louisiana (statewide)23$6,966$8,309$9,804$5,982–$12,908
Maine (statewide)16$29,272$33,220$33,984$15,489–$42,727
Massachusetts (statewide)5$7,176$8,493$9,070$6,518–$10,392
Miami-Fort Lauderdale FL1———$13,338–$13,338
Michigan (statewide)20$4,502$6,092$7,888$4,153–$8,776
Minneapolis-St. Paul MN6$8,010$8,110$8,716$7,641–$15,377
Minnesota (statewide)11$13,078$20,049$23,683$7,820–$31,617
Mississippi (statewide)9$8,372$8,850$9,728$6,136–$19,790
Missouri (statewide)12$6,290$6,594$12,099$5,182–$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$11,962$7,352–$18,020
Nevada (statewide)3———$7,352–$7,352
New Hampshire (statewide)6$13,255$16,466$22,868$11,248–$32,494
New Jersey (statewide)21$8,289$8,419$11,208$7,907–$14,827
New Mexico (statewide)6$6,712$9,965$16,680$4,531–$21,147
New York (statewide)26$6,836$11,354$14,442$5,148–$24,437
New York City8$5,284$6,620$10,045$5,217–$12,305
North Carolina (statewide)3———$7,039–$19,175
North Dakota (statewide)5$11,996$12,358$12,633$10,326–$16,346
Ohio (statewide)37$10,800$16,105$16,456$4,000–$27,890
Oklahoma (statewide)8$13,015$14,812$14,977$6,362–$17,467
Oregon (statewide)8$18,293$21,212$26,646$16,296–$33,060
Pennsylvania (statewide)29$8,024$14,618$24,248$3,909–$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 PA7$9,474$14,507$15,295$5,758–$17,980
Portland OR9$16,131$16,131$24,555$14,746–$24,555
Rhode Island (statewide)4———$8,027–$16,509
Richmond VA3———$7,130–$7,208
Rio Grande Valley TX4———$9,328–$9,430
Salt Lake City UT9$7,756$8,020$8,020$6,513–$8,285
San Antonio TX3———$7,778–$9,391
San Diego CA6$15,866$15,866$16,020$15,866–$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)3———$10,499–$35,363
Tampa FL6$13,658$13,658$13,658$11,760–$14,206
Tennessee (statewide)20$4,572$6,913$7,463$3,603–$14,573
Texas (statewide)70$7,381$9,417$16,199$4,299–$32,884
Utah (statewide)6$6,629$7,366$7,756$6,513–$8,020
Virginia (statewide)20$15,835$21,156$23,710$8,975–$26,244
Washington (statewide)11$18,241$20,803$26,056$7,334–$37,385
Washington DC4———$7,208–$10,924
West Virginia (statewide)4———$6,185–$48,308
Wisconsin (statewide)29$12,346$12,346$14,011$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
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
Russell Regional HospitalKansas (statewide)$3,8390.6×12026-06-01
Upmc ColePennsylvania (statewide)$3,9090.6×12026-03-06
Chi Saint Joseph Berea NfKentucky (statewide)$3,9750.6×12026-02-28
Parkridge Medical CenterTennessee (statewide)$3,9790.6×52026-09-01
Bradley County Medical CenterArkansas (statewide)$4,0000.6×12026-04-08
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
Same Day Surgery Center LlcSouth Dakota (statewide)$35,3634.8×22026-09-10
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 scaphoid (wrist bone) fracture fixation?

Across 963 hospitals in 76 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 25628, hospital outpatient is $10,387, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,616 to $15,865. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for scaphoid (wrist bone) fracture fixation?

Medicare's national hospital outpatient rate for CPT 25628 is $7,413 and its surgery-center rate is $3,696, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for scaphoid (wrist bone) 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.