27590

Amputation of thigh through thigh bone

Medicare pricing data for 4,855 providers across 52 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Amputation of thigh through thigh bone (HCPCS code 27590) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $634.14, but hospitals typically charge $2,558 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$126.83

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $634.14, your out-of-pocket cost would be approximately $126.83. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$634.14
Average Hospital Charge
$2,558
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,557.60
Medicare Allowed$634.14
Medicare Payment$504.93

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $504.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$744$3,558260534+17.4%
District of Columbia$744$1,9991130+17.3%
New Jersey$742$4,453114221+17.0%
Puerto Rico$723$7831117+14.1%
Illinois$718$3,653142261+13.3%
Michigan$718$1,953117226+13.1%
Hawaii$715$1,854813+12.7%
Maryland$713$2,070105253+12.4%
Ohio$693$2,506148249+9.2%
Virginia$691$2,071107243+9.0%
California$690$2,532321585+8.8%
Rhode Island$689$2,7531117+8.7%
Delaware$684$2,1531438+7.8%
Massachusetts$683$3,48779132+7.8%
Pennsylvania$674$2,372225468+6.2%
Louisiana$670$2,172114232+5.6%
South Carolina$658$2,742118266+3.8%
West Virginia$657$2,1813454+3.6%
New Hampshire$655$3,9103968+3.3%
Connecticut$649$2,8415788+2.3%
Tennessee$646$2,240122238+1.9%
Florida$639$2,327354746+0.8%
Texas$627$2,401389740-1.2%
Georgia$611$2,306168354-3.7%
Mississippi$608$2,49598238-4.1%
Missouri$601$2,462113206-5.2%
Kentucky$595$1,85168158-6.2%
North Carolina$585$2,234196364-7.8%
North Dakota$583$2,6132136-8.1%
Vermont$579$3,7281022-8.7%
Arkansas$576$1,68173115-9.2%
Nevada$575$2,8084774-9.3%
Minnesota$565$3,33761106-10.8%
Iowa$565$2,6234586-10.9%
Alabama$562$2,16296194-11.3%
Oklahoma$562$2,10478150-11.4%
Oregon$557$2,0855991-12.2%
Wisconsin$550$5,698111185-13.2%
Maine$549$1,9323758-13.4%
Alaska$544$3,9021927-14.2%
Washington$544$1,995111199-14.3%
Kansas$534$2,03761122-15.8%
Indiana$533$2,175111199-15.9%
New Mexico$528$1,8292331-16.7%
Colorado$528$2,0396190-16.8%
Idaho$527$2,1383750-16.9%
Arizona$517$2,23898140-18.5%
Montana$486$1,7502943-23.3%
South Dakota$474$1,7482843-25.3%
Wyoming$472$1,5841518-25.6%
Nebraska$448$2,1564793-29.3%
Utah$373$1,3872946-41.1%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber