Price AtlasInteractive atlas · All states · techysurgeon.comWrist fracture set and cast: what insurers pay
Setting a broken wrist without surgery (closed reduction) and casting it. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 25605: Wrist Fracture Set and Cast
1492 hospitals in 81 markets. National Medicare rate $1,643, surgery center $873.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 15 | $944 | $1,632 | $2,025 | $792–$3,095 |
| Alaska (statewide) | 6 | $1,978 | $2,558 | $6,275 | $1,170–$10,175 |
| Arizona (statewide) | 12 | $2,554 | $2,972 | $3,184 | $1,037–$6,047 |
| Arkansas (statewide) | 16 | $1,439 | $1,511 | $1,994 | $860–$2,242 |
| Atlanta GA | 10 | $3,108 | $4,220 | $4,975 | $3,108–$4,975 |
| Austin TX | 13 | $1,135 | $2,441 | $2,441 | $1,135–$3,142 |
| Boston MA | 13 | $1,861 | $2,402 | $2,748 | $1,352–$3,300 |
| California (statewide) | 75 | $2,334 | $3,611 | $6,056 | $1,552–$12,100 |
| Charlotte NC | 6 | $1,903 | $1,903 | $1,903 | $1,877–$4,968 |
| Chicago IL | 8 | $1,923 | $2,356 | $3,140 | $1,892–$5,061 |
| Cleveland OH | 11 | $2,458 | $2,497 | $2,942 | $2,063–$4,632 |
| Colorado (statewide) | 18 | $1,611 | $2,932 | $4,810 | $1,186–$7,890 |
| Columbus OH | 2 | — | — | — | $5,784–$5,784 |
| Connecticut (statewide) | 4 | — | — | — | $1,246–$3,512 |
| Dallas-Fort Worth TX | 14 | $2,517 | $3,293 | $3,315 | $2,380–$4,826 |
| Delaware (statewide) | 1 | — | — | — | $4,370–$4,370 |
| Denver CO | 15 | $2,214 | $2,909 | $3,399 | $1,520–$5,370 |
| Detroit MI | 15 | $1,076 | $1,204 | $1,500 | $854–$3,791 |
| Florida (statewide) | 66 | $2,986 | $3,696 | $4,034 | $997–$10,568 |
| Georgia (statewide) | 45 | $2,339 | $3,011 | $3,753 | $902–$5,540 |
| Hawaii (statewide) | 10 | $2,476 | $3,436 | $4,295 | $1,137–$5,672 |
| Houston TX | 19 | $2,315 | $2,486 | $3,444 | $2,157–$4,004 |
| Idaho (statewide) | 20 | $1,000 | $1,975 | $3,995 | $802–$4,870 |
| Illinois (statewide) | 40 | $1,612 | $2,138 | $3,161 | $1,003–$4,755 |
| Indiana (statewide) | 51 | $1,567 | $2,340 | $5,410 | $882–$8,700 |
| Indianapolis IN | 5 | $997 | $997 | $1,164 | $997–$3,095 |
| Iowa (statewide) | 44 | $1,013 | $1,480 | $2,818 | $821–$4,880 |
| Kansas (statewide) | 42 | $1,420 | $1,759 | $2,295 | $757–$10,175 |
| Kentucky (statewide) | 23 | $1,476 | $2,216 | $2,859 | $792–$4,299 |
| Las Vegas NV | 2 | — | — | — | $2,516–$3,010 |
| Los Angeles CA | 18 | $3,761 | $4,099 | $5,858 | $2,824–$12,408 |
| Louisiana (statewide) | 24 | $1,292 | $1,460 | $1,847 | $813–$4,188 |
| Maine (statewide) | 18 | $5,832 | $7,199 | $7,614 | $945–$9,572 |
| Massachusetts (statewide) | 11 | $1,834 | $1,957 | $2,236 | $1,502–$3,487 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $2,060–$2,725 |
| Michigan (statewide) | 30 | $866 | $1,204 | $1,789 | $836–$3,316 |
| Minneapolis-St. Paul MN | 10 | $2,080 | $2,128 | $2,172 | $1,638–$3,336 |
| Minnesota (statewide) | 18 | $1,444 | $2,904 | $4,861 | $1,000–$7,103 |
| Mississippi (statewide) | 27 | $1,456 | $2,292 | $2,638 | $793–$4,386 |
| Missouri (statewide) | 21 | $2,492 | $3,130 | $5,209 | $1,150–$7,109 |
| Montana (statewide) | 12 | $869 | $1,704 | $3,671 | $840–$5,890 |
| Nashville TN | 8 | $2,027 | $2,794 | $3,168 | $1,650–$3,203 |
| Nebraska (statewide) | 25 | $1,212 | $1,510 | $3,212 | $952–$6,169 |
| Nevada (statewide) | 7 | $2,082 | $2,444 | $2,788 | $1,668–$4,190 |
| New Hampshire (statewide) | 6 | $3,319 | $5,976 | $7,034 | $2,262–$7,981 |
| New Jersey (statewide) | 21 | $1,857 | $2,775 | $3,961 | $1,240–$6,236 |
| New Mexico (statewide) | 10 | $1,594 | $2,676 | $3,077 | $972–$6,820 |
| New York (statewide) | 42 | $2,177 | $2,983 | $3,924 | $1,085–$6,184 |
| New York City | 9 | $2,177 | $2,177 | $5,780 | $1,997–$12,245 |
| North Carolina (statewide) | 10 | $1,818 | $2,593 | $3,914 | $1,308–$4,192 |
| North Dakota (statewide) | 7 | $1,836 | $2,838 | $3,648 | $1,348–$6,540 |
| Ohio (statewide) | 48 | $2,200 | $3,453 | $4,673 | $1,128–$6,180 |
| Oklahoma (statewide) | 25 | $1,061 | $1,803 | $2,711 | $777–$4,507 |
| Oregon (statewide) | 19 | $2,148 | $3,314 | $5,209 | $944–$7,336 |
| Pennsylvania (statewide) | 51 | $2,104 | $2,934 | $4,390 | $1,336–$7,111 |
| Philadelphia PA | 11 | $4,070 | $4,480 | $4,666 | $2,229–$9,304 |
| Phoenix AZ | 8 | $3,016 | $3,043 | $3,046 | $2,936–$3,054 |
| Pittsburgh PA | 11 | $1,999 | $2,309 | $2,664 | $1,632–$3,020 |
| Portland OR | 9 | $6,202 | $6,912 | $6,912 | $6,202–$7,226 |
| Rhode Island (statewide) | 6 | $1,332 | $2,207 | $3,003 | $1,096–$3,272 |
| Richmond VA | 3 | — | — | — | $3,700–$3,766 |
| Rio Grande Valley TX | 7 | $2,130 | $2,443 | $2,990 | $2,090–$4,908 |
| Salt Lake City UT | 9 | $1,756 | $1,775 | $1,775 | $1,463–$1,775 |
| San Antonio TX | 3 | — | — | — | $2,096–$2,104 |
| San Diego CA | 7 | $3,590 | $3,619 | $3,619 | $2,980–$3,814 |
| San Francisco Bay Area CA | 6 | $3,014 | $5,426 | $5,618 | $2,271–$11,021 |
| Seattle-Tacoma WA | 16 | $4,555 | $5,120 | $5,723 | $4,486–$6,777 |
| South Carolina (statewide) | 31 | $1,486 | $1,925 | $3,137 | $810–$5,422 |
| South Dakota (statewide) | 8 | $861 | $976 | $2,250 | $861–$8,156 |
| St. Louis MO | 2 | — | — | — | $1,140–$1,241 |
| Tampa FL | 6 | $2,608 | $2,608 | $2,608 | $2,428–$8,933 |
| Tennessee (statewide) | 35 | $1,670 | $1,766 | $2,030 | $874–$3,203 |
| Texas (statewide) | 87 | $1,987 | $2,380 | $3,046 | $843–$8,220 |
| Utah (statewide) | 9 | $1,463 | $1,531 | $1,666 | $1,067–$5,466 |
| Vermont (statewide) | 4 | — | — | — | $930–$1,531 |
| Virginia (statewide) | 22 | $2,847 | $4,372 | $4,944 | $1,267–$5,450 |
| Washington (statewide) | 21 | $1,707 | $4,430 | $5,030 | $1,064–$8,714 |
| Washington DC | 11 | $3,244 | $3,245 | $3,619 | $2,401–$4,164 |
| West Virginia (statewide) | 12 | $2,325 | $2,697 | $5,232 | $1,061–$10,705 |
| Wisconsin (statewide) | 46 | $2,048 | $3,094 | $3,874 | $820–$6,834 |
| Wyoming (statewide) | 2 | — | — | — | $1,158–$1,158 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Susan B Allen Memorial Hospital | Kansas (statewide) | $757 | 0.5× | 1 | 2025-05-27 |
| Weatherford Regional Hospital, Inc Of Weatherford | Oklahoma (statewide) | $777 | 0.5× | 4 | 2026-06-24 |
| Monroe County Hospital | Alabama (statewide) | $792 | 0.6× | 2 | 2026-08-14 |
| Monroe County Medical Center | Kentucky (statewide) | $792 | 0.5× | 1 | 2026-08-14 |
| South Sunflower County Hospital | Mississippi (statewide) | $793 | 0.6× | 1 | 2026-09-10 |
| Steele Memorial Medical Center | Idaho (statewide) | $802 | 0.5× | 1 | 2026-02-26 |
| Prattville Baptist Hospital | Alabama (statewide) | $805 | 0.6× | 1 | 2025-12-30 |
| Shriners Hospitals For Children | South Carolina (statewide) | $810 | 0.5× | 3 | 2026-03-18 |
| Richland Parish Hospital-Delhi | Louisiana (statewide) | $813 | 0.6× | 6 | 2026-09-11 |
| Tomah Memorial Hospital | Wisconsin (statewide) | $820 | 0.5× | 7 | 2026-06-30 |
| Guttenberg Municipal Hospital | Iowa (statewide) | $821 | 0.5× | 1 | 2026-03-31 |
| Story County Hospital | Iowa (statewide) | $821 | 0.5× | 1 | 2026-03-30 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,304 | 5.6× | 4 | 2026-09-15 |
| University Of California Davis Medical Center | California (statewide) | $9,348 | 4.5× | 2 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $9,572 | 6.0× | 1 | 2025-09-09 |
| Providence Queen Of The Valley Medical Center | California (statewide) | $9,858 | 4.8× | 5 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $10,175 | 5.7× | 1 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $10,175 | 6.7× | 1 | 2026-04-01 |
| Holy Cross Hospital | Florida (statewide) | $10,568 | 6.3× | 19 | 2026-03-31 |
| Logan Regional Medical Center | West Virginia (statewide) | $10,705 | 6.9× | 1 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $11,021 | 4.7× | 2 | 2026-04-01 |
| Valley Children'S Hospital | California (statewide) | $12,100 | 5.8× | 1 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $12,245 | 6.1× | 14 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $12,408 | 6.0× | 2 | 2025-11-26 |
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 wrist fracture set and cast?
Across 1492 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 25605, hospital outpatient is $2,525, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,727 to $3,805. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for wrist fracture set and cast?
Medicare's national hospital outpatient rate for CPT 25605 is $1,643 and its surgery-center rate is $873, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for wrist fracture set and cast?
Lowest medians: Susan B Allen Memorial Hospital ($757), Weatherford Regional Hospital, Inc Of Weatherford ($777), Monroe County Hospital ($792). Highest: Cedars-Sinai Medical Center ($12,408), Hospital for Special Surgery ($12,245), Valley Children'S Hospital ($12,100). Coverage: every hospital whose price file we could read.