Application of walking cast covering below knee to toe
Medicare pricing data for 2,072 providers across 42 states
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
Application of walking cast covering below knee to toe (HCPCS code 29425) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $72.45, but hospitals typically charge $261.04 — a 3.6x 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 $72.45, your out-of-pocket cost would be approximately $14.49. 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 3.6x more than what Medicare allows for this procedure. Medicare actually pays $55.65 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $87 | $217 | 23 | 82 | +20.0% |
| New Jersey | $84 | $393 | 84 | 913 | +15.4% |
| New York | $81 | $304 | 106 | 309 | +11.8% |
| California | $80 | $238 | 269 | 1,038 | +10.9% |
| Hawaii | $78 | $168 | 3 | 19 | +7.8% |
| Connecticut | $77 | $197 | 34 | 227 | +6.9% |
| Massachusetts | $76 | $260 | 30 | 66 | +5.4% |
| Pennsylvania | $76 | $245 | 57 | 126 | +5.4% |
| Rhode Island | $76 | $165 | 4 | 20 | +4.2% |
| Puerto Rico | $75 | $100 | 3 | 19 | +2.9% |
| Illinois | $74 | $292 | 78 | 388 | +2.5% |
| Colorado | $74 | $197 | 35 | 138 | +2.1% |
| New Mexico | $72 | $164 | 8 | 23 | -0.1% |
| Washington | $72 | $232 | 32 | 155 | -0.1% |
| Michigan | $71 | $208 | 101 | 415 | -1.4% |
| Nevada | $71 | $230 | 26 | 75 | -1.7% |
| Arizona | $71 | $224 | 62 | 347 | -2.3% |
| Virginia | $70 | $244 | 64 | 141 | -2.9% |
| Texas | $70 | $231 | 131 | 650 | -3.0% |
| Minnesota | $70 | $283 | 24 | 61 | -4.1% |
| Louisiana | $69 | $261 | 20 | 84 | -5.2% |
| West Virginia | $68 | $226 | 8 | 40 | -5.5% |
| Missouri | $68 | $269 | 42 | 199 | -5.7% |
| Ohio | $68 | $234 | 59 | 156 | -5.7% |
| New Hampshire | $68 | $260 | 10 | 31 | -6.2% |
| Florida | $68 | $232 | 133 | 794 | -6.5% |
| Kansas | $68 | $336 | 14 | 123 | -6.6% |
| Oregon | $67 | $254 | 25 | 68 | -7.7% |
| Alabama | $67 | $241 | 52 | 219 | -7.9% |
| Kentucky | $66 | $217 | 44 | 124 | -9.3% |
| Iowa | $66 | $305 | 31 | 84 | -9.6% |
| Georgia | $66 | $247 | 60 | 263 | -9.6% |
| Indiana | $66 | $251 | 56 | 173 | -9.6% |
| North Carolina | $65 | $242 | 94 | 318 | -9.8% |
| Utah | $65 | $184 | 9 | 27 | -9.9% |
| Oklahoma | $65 | $172 | 25 | 108 | -10.0% |
| Wisconsin | $65 | $609 | 21 | 93 | -10.6% |
| Nebraska | $64 | $303 | 10 | 18 | -11.2% |
| South Carolina | $64 | $219 | 31 | 80 | -11.3% |
| Tennessee | $64 | $274 | 82 | 235 | -11.5% |
| Mississippi | $62 | $258 | 28 | 195 | -14.3% |
| Arkansas | $60 | $214 | 12 | 54 | -17.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber