Treatment of broken neck of thigh bone with bone implant
Medicare pricing data for 17,654 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 broken neck of thigh bone with bone implant (HCPCS code 27245) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $974.26, but hospitals typically charge $4,333 — 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 $974.26, your out-of-pocket cost would be approximately $194.85. 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 $773.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $1,166 | $1,724 | 32 | 59 | +19.7% |
| Hawaii | $1,165 | $3,623 | 43 | 167 | +19.5% |
| New York | $1,121 | $7,076 | 988 | 4,933 | +15.0% |
| Massachusetts | $1,105 | $5,117 | 387 | 2,081 | +13.4% |
| California | $1,103 | $3,780 | 1,225 | 7,124 | +13.2% |
| Maryland | $1,090 | $3,935 | 326 | 1,866 | +11.9% |
| Virginia | $1,087 | $3,944 | 418 | 2,500 | +11.6% |
| Nevada | $1,086 | $5,300 | 108 | 759 | +11.4% |
| Michigan | $1,066 | $3,310 | 511 | 2,450 | +9.5% |
| New Jersey | $1,056 | $11,365 | 506 | 2,693 | +8.4% |
| Rhode Island | $1,044 | $3,947 | 67 | 316 | +7.2% |
| Alaska | $1,037 | $7,894 | 73 | 238 | +6.4% |
| Connecticut | $1,035 | $4,865 | 265 | 1,086 | +6.3% |
| New Mexico | $1,015 | $3,543 | 107 | 606 | +4.1% |
| District of Columbia | $1,013 | $4,090 | 34 | 119 | +4.0% |
| Illinois | $1,012 | $5,498 | 713 | 3,933 | +3.9% |
| Kentucky | $1,008 | $3,438 | 253 | 1,518 | +3.5% |
| Tennessee | $1,000 | $3,855 | 379 | 2,139 | +2.7% |
| Ohio | $991 | $3,379 | 667 | 3,356 | +1.8% |
| Vermont | $987 | $3,921 | 54 | 220 | +1.3% |
| Texas | $987 | $3,754 | 957 | 6,484 | +1.3% |
| North Carolina | $972 | $3,624 | 655 | 3,194 | -0.2% |
| Pennsylvania | $971 | $3,786 | 866 | 4,046 | -0.3% |
| Georgia | $967 | $4,252 | 557 | 2,652 | -0.8% |
| Missouri | $964 | $4,386 | 360 | 2,229 | -1.1% |
| Oklahoma | $957 | $2,704 | 187 | 1,431 | -1.8% |
| West Virginia | $951 | $3,285 | 118 | 590 | -2.4% |
| Washington | $950 | $3,195 | 464 | 1,920 | -2.5% |
| Florida | $947 | $4,382 | 1,219 | 9,310 | -2.8% |
| Mississippi | $946 | $3,859 | 161 | 1,141 | -2.9% |
| New Hampshire | $943 | $5,091 | 127 | 581 | -3.2% |
| Arkansas | $930 | $2,596 | 160 | 1,124 | -4.6% |
| South Carolina | $922 | $3,631 | 334 | 1,994 | -5.3% |
| Oregon | $918 | $3,756 | 233 | 886 | -5.8% |
| Indiana | $912 | $3,889 | 377 | 2,152 | -6.4% |
| Wyoming | $900 | $3,870 | 63 | 241 | -7.6% |
| Louisiana | $891 | $3,701 | 273 | 1,442 | -8.6% |
| Utah | $874 | $2,746 | 166 | 571 | -10.3% |
| Colorado | $863 | $3,356 | 398 | 1,517 | -11.4% |
| Arizona | $853 | $3,309 | 341 | 2,482 | -12.5% |
| Minnesota | $851 | $4,543 | 402 | 1,651 | -12.6% |
| North Dakota | $837 | $4,891 | 64 | 463 | -14.1% |
| Wisconsin | $837 | $8,257 | 467 | 1,612 | -14.1% |
| Iowa | $829 | $3,564 | 241 | 1,106 | -14.9% |
| Delaware | $811 | $4,531 | 77 | 569 | -16.7% |
| Montana | $802 | $2,829 | 137 | 543 | -17.7% |
| Kansas | $793 | $2,928 | 200 | 1,217 | -18.6% |
| Alabama | $787 | $3,137 | 373 | 1,970 | -19.2% |
| Idaho | $770 | $3,493 | 114 | 545 | -21.0% |
| Maine | $760 | $2,432 | 117 | 524 | -22.0% |
| South Dakota | $696 | $2,218 | 86 | 618 | -28.5% |
| Nebraska | $656 | $3,372 | 164 | 796 | -32.7% |
⚠️ 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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