CPT 26605 Surgery - Musculoskeletal

How Much Does Treat Metacarpal Fracture Cost?

Also known as: Treat metacarpal fracture (CPT 26605)

Closed treatment of a metacarpal fracture with manipulation.

The total estimated cost of Treat Metacarpal Fracture (CPT 26605) is $1,048 to $1,965, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $312.

Total Estimated Cost of Care

$1,048 — $1,965

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

Surgeon/Physician Fee
$312
Hospital Facility Fee
$936
Anesthesia (est.)
$62
Important: The physician fee of $312 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)
$312
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$376
Non-facility setting

Patient Guide: Treat Metacarpal Fracture

What you need to know before your appointment

What to Expect

Under local anesthesia, the doctor realigns the broken hand bone and applies a splint or cast.

How Long Does It Take?

30-45 minutes

Common Reasons Doctors Order This

Displaced metacarpal fracture, angulated boxer fracture

How to Prepare

Do not eat in case further sedation is needed. Buddy taping or splint is typically used.

Procedures Commonly Done Together

These procedures are frequently performed alongside Treat metacarpal fracture

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How to Reduce Your Cost for Treat metacarpal fracture

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 ($376) differs from the facility rate ($312). 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.

2.95
Work RVU
5.78
Practice Expense RVU
0.61
Malpractice RVU
11.27
Total RVU

Payment = Total RVU (11.27) x CF ($33.40) = $376

Frequently Asked Questions

How much does Treat metacarpal fracture cost?

The Medicare facility rate for Treat metacarpal fracture is $312. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Treat metacarpal fracture cost without insurance?

Without insurance, the cost of Treat metacarpal fracture 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 Treat metacarpal fracture?

Most commercial health insurance plans and Medicare cover Treat metacarpal fracture 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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