29405

Application of short leg cast

Medicare pricing data for 7,390 providers across 51 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 short leg cast (HCPCS code 29405) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $73.10, but hospitals typically charge $266.72 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.62

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $73.10, your out-of-pocket cost would be approximately $14.62. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$73.10
Average Hospital Charge
$266.72
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$266.72
Medicare Allowed$73.10
Medicare Payment$56.09

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $56.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$94$208515+27.9%
Alaska$88$4553285+19.9%
California$84$2596783,174+14.2%
New Jersey$81$347209922+11.3%
Maryland$81$225119429+10.4%
Connecticut$80$29487563+9.4%
New York$79$3033791,148+8.5%
Massachusetts$79$304149613+8.1%
Colorado$77$264118801+5.9%
New Hampshire$77$32165506+5.0%
Rhode Island$76$25725198+4.0%
Florida$75$3063771,879+3.2%
Illinois$75$3103291,497+3.1%
Nevada$74$29357196+1.0%
Washington$74$2251951,078+0.8%
Pennsylvania$74$247234977+0.5%
Oregon$73$243119567-0.2%
Michigan$73$203261950-0.2%
Wyoming$73$2482242-0.5%
Virginia$73$275221890-0.6%
Texas$73$2564722,549-0.8%
South Carolina$72$220132714-1.4%
Minnesota$71$280123407-2.7%
Montana$71$23341150-3.4%
Louisiana$71$253112549-3.6%
Ohio$70$2502481,085-3.7%
Missouri$70$263139663-3.8%
New Mexico$70$17361254-4.2%
North Carolina$70$2532901,211-4.8%
Arizona$69$2451651,374-5.2%
Georgia$69$302232954-5.5%
Tennessee$69$2542111,026-5.6%
Kentucky$68$216117569-6.6%
Iowa$68$278110454-6.8%
Alabama$68$251127775-6.9%
Kansas$68$25882471-7.0%
Utah$68$17363299-7.0%
Delaware$68$2261760-7.2%
Hawaii$67$1551359-7.8%
Indiana$67$246172752-8.5%
Oklahoma$66$200114426-9.9%
Arkansas$66$21569341-10.0%
Wisconsin$65$551176561-10.7%
Nebraska$65$27768228-10.9%
Mississippi$65$268113703-11.4%
South Dakota$65$26833112-11.7%
North Dakota$64$1931742-12.1%
West Virginia$63$2252763-13.6%
Idaho$58$19641228-20.7%
Maine$58$16147177-21.2%
Vermont$52$171833-29.0%

⚠️ 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