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Scaphoid (wrist bone) fracture fixation in Pennsylvania: what insurers pay

Posted commercial rates at 45 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 25628

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Cole Coudersport$3,9090.6×12026-03-06
Lankenau Medical Center Wynnewood$4,6890.7×22026-04-01
Upmc Mercy Pittsburgh$5,7580.8×22026-03-06
Upmc East Monroeville$5,9980.8×22026-03-06
Jefferson Abington Hospital Abington$6,1360.9×52026-09-15
Jefferson Lansdale Hospital Lansdale$6,3500.9×52026-09-15
Holy Redeemer Hospital And Medical Center Meadowbrook$6,4200.9×52026-09-21
Wellspan Surgery And Rehabilitation Hospital York$6,9161.0×32026-01-01
Upmc Bedford Memorial Everett$7,0301.0×12026-03-06
Upmc Altoona Altoona$7,0601.0×12026-03-06
Paoli Hospital Paoli$7,4851.1×22026-04-01
Riddle Memorial Hospital Media$7,4851.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,5241.0×22026-04-01
Wayne Memorial Hospital Honesdale$7,7921.1×12026-09-16
Jefferson Einstein Montgomery Hospital East Norriton$8,0031.1×62026-09-15
Upmc Hamot Erie$8,0241.1×32026-03-06
Jefferson Health-Northeast Philadelphia$8,2451.1×62026-09-15
Temple University Hospital Philadelphia$8,2661.1×92026-04-13
Thomas Jefferson University Hospital Philadelphia$9,3041.3×42026-09-15
St Luke'S Miners Memorial Hospital Coaldale$12,4221.8×22026-02-27
Saint Vincent Hospital Erie$12,7341.8×62026-04-14
Jefferson Hospital Jefferson Hills$12,9501.8×62026-04-14
St Luke'S Hospital Bethlehem Bethlehem$13,2291.8×32026-02-26
Roxborough Memorial Hospital Philadelphia$14,1271.9×52024-06-21
St Luke'S Hospital - Upper Bucks Campus Quakertown$14,4252.0×22026-02-26
Allegheny Valley Hospital Natrona$14,5072.0×62026-04-14
Canonsburg General Hospital Canonsburg$14,5442.1×62026-04-14
Grove City Hospital Grove City$14,6182.1×52026-04-14
Forbes Hospital Monroeville$14,9462.1×62026-04-14
Lehigh Valley Hospital Allentown$15,0822.0×82026-07-01
Lower Bucks Hospital Bristol$15,2502.2×52026-09-01
Ahn Wexford Hospital Wexford$15,6442.2×62026-04-14
St Clair Hospital Pittsburgh$16,2182.3×72026-03-31
Wellspan Ephrata Community Hospital Ephrata$17,3942.5×22026-01-01
Allegheny General Hospital Pittsburgh$17,9802.5×62026-04-14
West Penn Hospital Pittsburgh$18,0652.6×62026-04-14
St Luke'S Hospital - Easton Campus Easton$22,7883.1×22026-02-26
Penn State Health Hampden Medical Center Enola$24,2483.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$24,5153.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$24,8953.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$25,6563.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$29,1064.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$29,3064.2×82026-07-01
Penn State Health St. Joseph Reading$32,0894.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$33,3794.5×82026-07-01

Questions

How much do insurers pay for scaphoid (wrist bone) fracture fixation in Pennsylvania?

45 Pennsylvania hospitals post usable commercial rates for scaphoid (wrist bone) fracture fixation in their federal price-transparency files. For CPT 25628, hospital outpatient, the median across 45 hospitals is $13,229, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.