Q4018

Cast supplies, long arm splint, adult (11 years +), fiberglass

Medicare pricing data for 3,859 providers across 47 states

🤖AI Overview

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

Cast supplies, long arm splint, adult (11 years +), fiberglass (HCPCS code Q4018) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.77, but hospitals typically charge $52.63 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.35

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.77, your out-of-pocket cost would be approximately $3.35. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.77
Average Hospital Charge
$52.63
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$52.63
Medicare Allowed$16.77
Medicare Payment$12.98

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $12.98 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Hampshire$17$392129+1.4%
West Virginia$17$321011+1.4%
Delaware$17$771134+1.3%
Louisiana$17$4362123+1.3%
South Dakota$17$321939+1.3%
Wyoming$17$341229+1.3%
Alaska$17$513052+1.3%
Colorado$17$1106689+1.3%
Connecticut$17$374986+1.3%
Kansas$17$374169+1.2%
Nebraska$17$434369+1.2%
Rhode Island$17$561728+1.2%
Maryland$17$41101175+1.1%
South Carolina$17$4473146+1.0%
Texas$17$49262462+1.0%
Massachusetts$17$7866121+0.8%
North Carolina$17$50202335+0.8%
Virginia$17$26128268+0.8%
California$17$56453905+0.8%
Florida$17$46241492+0.8%
Nevada$17$563550+0.8%
Oklahoma$17$63113176+0.7%
Pennsylvania$17$34116165+0.7%
Mississippi$17$6160128+0.7%
New Jersey$17$545276+0.6%
Idaho$17$752031+0.5%
Ohio$17$6070100+0.4%
Tennessee$17$46165342+0.2%
Georgia$17$90102193+0.2%
Illinois$17$571532720.0%
Kentucky$17$6052120-0.1%
Missouri$17$636591-0.2%
New York$17$41120201-0.3%
Arizona$17$5090210-0.3%
Utah$17$14089109-0.4%
Wisconsin$17$7072100-0.6%
Michigan$17$435378-0.7%
Arkansas$17$282336-1.0%
Indiana$17$4374117-1.5%
Minnesota$16$6378122-1.7%
Washington$16$65126190-2.3%
Iowa$16$283055-3.1%
Hawaii$16$511218-3.8%
Alabama$16$234190-4.7%
Montana$16$381924-5.2%
Oregon$15$3090129-9.0%
New Mexico$14$311639-17.0%

⚠️ 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