How Much Does Closed Treatment of Wrist Fracture (Distal Radius) Cost?
Also known as: Cltx dst rdl fx/ephys sep wo (CPT 25600)
Treatment of a distal radius (wrist) fracture without surgery, using a cast or splint.
The total estimated cost of Closed Treatment of Wrist Fracture (Distal Radius) (CPT 25600) is $1,149 to $2,154, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $342.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Closed Treatment of Wrist Fracture (Distal Radius)
What you need to know before your appointment
What to Expect
The doctor may need to realign the bones (reduction) under anesthesia, then immobilize the wrist in a cast or splint for 4-6 weeks.
How Long Does It Take?
30-60 minutes if reduction is needed; cast worn for 4-6 weeks
Common Reasons Doctors Order This
Broken wrist from a fall, Colles fracture, distal radius fracture that is in acceptable alignment
How to Prepare
Remove rings immediately. The wrist will be in a cast for several weeks. Follow up with X-rays to ensure alignment is maintained.
Procedures Commonly Done Together
These procedures are frequently performed alongside Cltx dst rdl fx/ephys sep wo
What Insurance Companies Actually Pay
Real negotiated rates from 15 hospitals across 6 states (from hospital price transparency filings)
| Insurance Company | Avg Rate | Range | Hospitals |
|---|---|---|---|
| Aetna | $2,105 | $181 - $4,833 | 9 |
| United | $1,161 | $92 - $2,749 | 10 |
| Cigna | $1,194 | $0 - $3,244 | 9 |
| Humana | $1,904 | $107 - $4,690 | 8 |
| BCBS | $810 | $90 - $1,560 | 5 |
| KAISER FOUNDATION HEALTH PLAN, INC. | $501 | $290 - $908 | 5 |
| BCBS-TX | $153 | $82 - $209 | 2 |
| Superior Health Plan | $895 | $360 - $948 | 3 |
| Wellpoint | $172 | $85 - $360 | 2 |
| CHC | $197 | $94 - $302 | 2 |
| Molina Healthcare | $94 | $94 | 2 |
| Community Health Choice MCD | $96 | $96 | 2 |
How to Reduce Your Cost for Cltx dst rdl fx/ephys sep wo
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($385) differs from the facility rate ($342). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (11.54) x CF ($33.40) = $385
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Cltx dst rdl fx/ephys sep wo cost?
The Medicare facility rate for Cltx dst rdl fx/ephys sep wo is $342. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Cltx dst rdl fx/ephys sep wo cost without insurance?
Without insurance, the cost of Cltx dst rdl fx/ephys sep wo can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Cltx dst rdl fx/ephys sep wo?
Most commercial health insurance plans and Medicare cover Cltx dst rdl fx/ephys sep wo when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.