Value-based care can be effectively applied to the treatment of pediatric lateral condyle fractures, improving both costs and outcomes. For instance, obtaining a comprehensive elbow radiograph series, including the internal oblique view, can help avoid the need for more costly advanced imaging. Nondisplaced fractures are typically managed with casting and close outpatient follow-up. Minimally displaced fractures may require closed reduction and percutaneous pinning, while displaced fractures often necessitate open reduction and percutaneous pinning. Physical therapy should be reserved for patients who exhibit motion limitations 1 month after cast removal. By utilizing these strategies, the value of care can be optimized, balancing effective treatment with cost efficiency.