29515

Application of short leg splint from calf to foot

Medicare pricing data for 18,105 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 short leg splint from calf to foot (HCPCS code 29515) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $57.05, but hospitals typically charge $241.96 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.41

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $57.05, your out-of-pocket cost would be approximately $11.41. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$57.05
Average Hospital Charge
$241.96
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$241.96
Medicare Allowed$57.05
Medicare Payment$43.55

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $43.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$70$38463108+23.5%
Hawaii$68$1953876+18.7%
New York$64$2771,3432,333+12.1%
New Jersey$63$2757051,445+10.0%
Florida$62$2151,1463,628+9.5%
Maryland$61$209408812+6.5%
Connecticut$61$263226350+6.3%
Nevada$60$298150368+5.9%
California$59$2512,0234,280+3.5%
Illinois$59$2608521,741+3.4%
North Dakota$59$2113899+3.3%
New Hampshire$59$238100165+2.9%
Rhode Island$59$30568156+2.7%
Massachusetts$58$228404748+2.5%
Michigan$58$229551961+2.1%
Colorado$58$209264523+2.0%
Washington$58$239334546+2.0%
New Mexico$57$181116320+0.3%
Oregon$56$233213400-1.9%
Virginia$56$267547955-2.5%
Georgia$56$254499999-2.6%
Pennsylvania$55$2248811,484-3.1%
Wyoming$54$2393655-4.7%
Louisiana$54$281269433-4.9%
Tennessee$54$246431892-4.9%
North Carolina$54$232499765-5.1%
Texas$54$2501,0651,978-6.0%
Iowa$53$262149267-6.7%
Indiana$53$199423923-6.8%
Kansas$53$219160257-7.0%
Minnesota$53$254283382-7.3%
South Carolina$53$234386666-7.4%
Oklahoma$53$193255623-7.7%
South Dakota$52$23673151-8.1%
Arizona$52$224357971-8.3%
Alabama$52$197221381-8.7%
Arkansas$52$211153329-9.1%
Wisconsin$52$415309520-9.1%
Missouri$52$224293494-9.2%
Kentucky$52$222244483-9.7%
Mississippi$51$233180412-10.2%
Ohio$51$2255791,097-10.9%
Nebraska$50$225114238-11.6%
Maine$50$199105159-11.8%
Puerto Rico$49$1851920-14.0%
Montana$49$1894971-14.3%
Delaware$48$24295147-15.2%
West Virginia$48$236105142-15.3%
Idaho$48$20474104-16.6%
Utah$47$230143263-17.1%
Vermont$44$2002127-22.8%
District of Columbia$41$2212545-28.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber