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

Posted commercial rates at 4 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 25628

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$7,4851.0×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,5241.0×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1721.2×32026-09-15
Lehigh Valley Hospital Allentown$15,0822.0×82026-07-01

Questions

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

4 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 4 hospitals is $8,348, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.