Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement
Medicare pricing data for 16,488 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS code 27236) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $891.22, but hospitals typically charge $3,939 — a 4.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $891.22, your out-of-pocket cost would be approximately $178.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $707.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $1,164 | $1,769 | 19 | 27 | +30.6% |
| Hawaii | $1,158 | $3,231 | 36 | 113 | +30.0% |
| District of Columbia | $1,016 | $4,105 | 29 | 142 | +14.0% |
| New York | $1,011 | $6,482 | 832 | 3,169 | +13.5% |
| Virginia | $1,006 | $3,552 | 367 | 1,932 | +12.9% |
| California | $1,003 | $3,508 | 1,188 | 5,717 | +12.5% |
| Michigan | $993 | $3,079 | 483 | 1,754 | +11.4% |
| Maryland | $987 | $3,601 | 309 | 1,432 | +10.8% |
| Nevada | $975 | $4,968 | 110 | 611 | +9.4% |
| New Mexico | $974 | $3,323 | 96 | 394 | +9.3% |
| Massachusetts | $954 | $4,270 | 380 | 1,494 | +7.1% |
| New Jersey | $954 | $10,457 | 465 | 2,026 | +7.0% |
| Kentucky | $946 | $3,003 | 232 | 1,190 | +6.2% |
| Illinois | $943 | $5,091 | 657 | 2,838 | +5.8% |
| Rhode Island | $936 | $3,859 | 77 | 237 | +5.0% |
| Ohio | $932 | $3,190 | 617 | 2,501 | +4.6% |
| Tennessee | $932 | $3,441 | 349 | 1,679 | +4.6% |
| Texas | $922 | $3,588 | 900 | 5,184 | +3.4% |
| Connecticut | $920 | $4,326 | 247 | 792 | +3.3% |
| Alaska | $908 | $7,221 | 57 | 147 | +1.9% |
| Pennsylvania | $908 | $3,551 | 808 | 2,767 | +1.9% |
| Oklahoma | $906 | $2,564 | 179 | 1,425 | +1.7% |
| West Virginia | $904 | $3,191 | 113 | 438 | +1.5% |
| Missouri | $900 | $3,927 | 350 | 1,822 | +1.0% |
| Georgia | $892 | $3,980 | 516 | 2,128 | +0.1% |
| North Carolina | $883 | $3,075 | 656 | 2,758 | -0.9% |
| Florida | $882 | $4,073 | 1,134 | 6,904 | -1.0% |
| Mississippi | $882 | $3,486 | 137 | 904 | -1.0% |
| Arkansas | $876 | $2,410 | 160 | 1,090 | -1.7% |
| South Carolina | $853 | $3,293 | 317 | 1,634 | -4.3% |
| Vermont | $843 | $3,508 | 53 | 159 | -5.4% |
| New Hampshire | $838 | $4,301 | 140 | 506 | -6.0% |
| Indiana | $833 | $3,405 | 350 | 1,711 | -6.5% |
| Louisiana | $824 | $3,257 | 246 | 1,172 | -7.6% |
| Minnesota | $811 | $4,202 | 383 | 1,291 | -9.0% |
| Colorado | $804 | $3,040 | 329 | 1,130 | -9.7% |
| Oregon | $803 | $3,379 | 262 | 926 | -9.9% |
| North Dakota | $795 | $4,427 | 57 | 341 | -10.8% |
| Arizona | $791 | $3,104 | 358 | 2,024 | -11.3% |
| Washington | $783 | $2,743 | 493 | 1,778 | -12.2% |
| Utah | $782 | $2,474 | 115 | 391 | -12.3% |
| Idaho | $778 | $3,433 | 94 | 362 | -12.7% |
| Delaware | $750 | $4,545 | 70 | 351 | -15.8% |
| Wyoming | $749 | $2,947 | 46 | 138 | -15.9% |
| Iowa | $742 | $3,131 | 217 | 1,077 | -16.8% |
| Alabama | $736 | $3,416 | 333 | 1,584 | -17.4% |
| Montana | $733 | $2,604 | 112 | 345 | -17.8% |
| Kansas | $723 | $2,638 | 211 | 1,175 | -18.9% |
| Wisconsin | $699 | $7,948 | 431 | 1,467 | -21.6% |
| Maine | $682 | $2,025 | 112 | 498 | -23.5% |
| South Dakota | $650 | $2,025 | 80 | 508 | -27.1% |
| Nebraska | $622 | $3,231 | 155 | 643 | -30.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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