CPT 25600 Surgery - Musculoskeletal

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

$1,149 — $2,154

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$342
Hospital Facility Fee
$1,026
Anesthesia (est.)
$68
Important: The physician fee of $342 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$342
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$385
Non-facility setting

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

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What Insurance Companies Actually Pay

Real negotiated rates from 15 hospitals across 6 states (from hospital price transparency filings)

Lowest
$0
Highest
$5,841
Average
$1,043
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
Average by State
KY: $336 (21) CA: $501 (15) GA: $532 (20) TN: $566 (19) TX: $1,053 (255) CO: $2,213 (34)
Disclaimer: These rates are from hospital Machine-Readable Files (MRFs) required by federal price transparency law. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your plan, deductible, and network status. Data sourced from CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.

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.

2.71
Work RVU
6.98
Practice Expense RVU
0.55
Malpractice RVU
11.54
Total RVU

Payment = Total RVU (11.54) x CF ($33.40) = $385

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.

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