97763

Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes

Medicare pricing data for 3,762 providers across 49 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

Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes (HCPCS code 97763) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $47.47, but hospitals typically charge $106.63 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.49

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $47.47, your out-of-pocket cost would be approximately $9.49. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$47.47
Average Hospital Charge
$106.63
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$106.63
Medicare Allowed$47.47
Medicare Payment$36.68

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $36.68 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$60$13410378+27.3%
New York$56$961521,648+17.5%
New Jersey$56$981591,523+17.4%
California$54$1072643,661+14.7%
Rhode Island$54$12921344+14.1%
Connecticut$54$11357487+13.8%
Maryland$54$1161301,366+13.1%
Alaska$52$11324808+9.7%
Nevada$52$13630186+8.9%
New Hampshire$51$961872+8.4%
Washington$51$1021912,187+8.2%
Colorado$51$112102925+6.9%
Maine$50$10014116+5.5%
Illinois$50$1421951,300+5.3%
North Dakota$49$1221038+4.0%
Massachusetts$49$108941,416+3.9%
Delaware$49$14529180+2.6%
Wyoming$48$13628130+1.2%
Georgia$48$1091141,074+1.1%
Texas$48$1181151,173+1.1%
Hawaii$48$7921339+0.9%
Nebraska$48$11528130+0.7%
Florida$47$1081933,622-0.0%
Louisiana$47$12728116-0.0%
Virginia$47$951401,597-0.1%
Wisconsin$47$191116775-0.8%
Oregon$47$116651,194-0.9%
Pennsylvania$47$1341522,481-1.4%
Iowa$46$11839363-3.5%
Alabama$45$11465380-5.2%
Montana$45$7842568-5.4%
Arizona$45$116751,159-6.0%
South Dakota$45$1371079-6.2%
Idaho$44$7219477-6.3%
Michigan$44$10685635-6.5%
Kentucky$44$11147263-7.3%
North Carolina$44$1011341,852-7.8%
Missouri$44$8763557-7.8%
Utah$44$7118216-7.9%
Arkansas$44$8950616-7.9%
Oklahoma$43$10212214-8.4%
Indiana$43$961091,624-8.6%
Minnesota$43$1581201,512-9.4%
Tennessee$43$931031,464-10.2%
Ohio$42$921132,458-11.8%
West Virginia$41$581167-12.6%
Kansas$41$10124228-13.5%
Mississippi$41$10134354-14.1%
South Carolina$38$55733,016-20.9%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber