29075

Application of elbow to finger cast

Medicare pricing data for 11,449 providers across 52 states

🤖AI Overview

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

Application of elbow to finger cast (HCPCS code 29075) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $81.67, but hospitals typically charge $281.44 — a 3.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.33

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $81.67, your out-of-pocket cost would be approximately $16.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$81.67
Average Hospital Charge
$281.44
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$281.44
Medicare Allowed$81.67
Medicare Payment$62.65

Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $62.65 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$93$49665242+13.6%
New Jersey$92$534241878+13.2%
California$92$2899966,049+12.4%
District of Columbia$90$2781278+10.6%
New York$90$3956032,807+10.2%
Maryland$90$2382271,131+9.9%
Connecticut$90$339163745+9.9%
Massachusetts$87$3292371,645+6.8%
Delaware$87$29122212+6.2%
Puerto Rico$85$1021020+4.2%
Michigan$84$1803352,016+3.0%
Florida$84$3146983,731+2.8%
Rhode Island$83$31252333+2.2%
Colorado$83$2511941,003+2.2%
Nevada$83$35399475+1.7%
Hawaii$83$22245145+1.5%
Illinois$83$3154382,143+1.1%
Texas$82$2477333,734+0.1%
New Hampshire$82$278103472-0.0%
Pennsylvania$82$2753781,289-0.1%
Virginia$81$2593221,543-0.7%
Oregon$80$273144606-2.1%
Wyoming$80$21735121-2.2%
Washington$80$2503301,556-2.3%
Georgia$78$3483501,776-4.0%
Arizona$78$2352531,381-4.5%
South Carolina$78$226200841-4.7%
Utah$77$202116356-5.1%
Ohio$77$221306939-5.5%
Montana$77$18972302-6.1%
Louisiana$77$258162561-6.3%
Missouri$76$291202788-6.5%
North Carolina$76$2424901,724-6.5%
Alabama$76$209202820-7.3%
Minnesota$76$311283774-7.4%
Indiana$75$225267744-8.8%
Tennessee$74$2633361,490-9.6%
Nebraska$74$30899493-9.9%
Wisconsin$73$522223585-10.1%
Kentucky$73$216202695-10.5%
Arkansas$73$220117659-10.6%
Kansas$73$240171697-10.9%
Iowa$72$273157760-11.7%
Mississippi$72$262133749-11.9%
Oklahoma$71$183170803-12.8%
New Mexico$70$18562313-14.0%
Idaho$70$26683343-14.5%
Maine$68$17876286-16.6%
South Dakota$67$23264223-17.4%
West Virginia$64$19356177-21.4%
North Dakota$61$22245118-24.7%
Vermont$58$1093496-28.9%

⚠️ 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