Q4022

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

Medicare pricing data for 6,841 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

Cast supplies, short arm splint, adult (11 years +), fiberglass (HCPCS code Q4022) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.04, but hospitals typically charge $45.70 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.81

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.04, your out-of-pocket cost would be approximately $2.81. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$14.04
Average Hospital Charge
$45.70
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$45.70
Medicare Allowed$14.04
Medicare Payment$10.80

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $10.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
West Virginia$14$362527+1.5%
Wyoming$14$422455+1.5%
Delaware$14$46918+1.4%
Louisiana$14$3971153+1.4%
Iowa$14$3158165+1.4%
Rhode Island$14$5218101+1.4%
Puerto Rico$14$79623+1.4%
Connecticut$14$4575166+1.4%
South Carolina$14$38140429+1.3%
North Carolina$14$46347854+1.1%
Maine$14$361549+1.1%
Pennsylvania$14$36305777+1.1%
Nebraska$14$2941161+0.9%
Wisconsin$14$65187343+0.9%
Virginia$14$27203731+0.8%
Florida$14$444041,539+0.7%
Kansas$14$3586286+0.7%
California$14$487052,408+0.7%
Georgia$14$75162475+0.6%
Maryland$14$46211569+0.6%
Montana$14$313555+0.6%
Missouri$14$6099214+0.5%
Tennessee$14$47229701+0.5%
Alaska$14$2237244+0.4%
Hawaii$14$393484+0.4%
Illinois$14$63282646+0.4%
Colorado$14$68136361+0.3%
Massachusetts$14$62144365+0.1%
Minnesota$14$41188362+0.1%
New Hampshire$14$3872146+0.1%
Utah$14$75118195+0.1%
New York$14$332286520.0%
Texas$14$394101,2360.0%
South Dakota$14$262360-0.1%
Nevada$14$5238138-0.3%
Arkansas$14$2444193-0.3%
District of Columbia$14$55911-0.4%
Oklahoma$14$59162429-0.4%
New Jersey$14$50116332-0.5%
Arizona$14$46139596-0.5%
Mississippi$14$7077329-0.6%
Alabama$14$3372168-0.6%
Ohio$14$37165337-1.0%
Kentucky$14$6163254-1.2%
Washington$14$60224538-1.4%
Idaho$14$503773-1.6%
Indiana$14$38158314-2.7%
Michigan$14$38169471-3.1%
North Dakota$14$321621-3.2%
Oregon$13$25174412-5.7%
New Mexico$12$2440108-13.5%

⚠️ 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