Musculoskeletal surgical navigational orthopedic operation using imaging guidance
Medicare pricing data for 956 providers across 39 states
Prices vary significantly by location — from $84 in Indiana to $252 in Florida. Where you get this procedure matters more than almost any other factor. 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
Musculoskeletal surgical navigational orthopedic operation using imaging guidance (HCPCS code 0055T) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $188.03, but hospitals typically charge $896.09 — a 4.8x 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 $188.03, your out-of-pocket cost would be approximately $37.61. 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 4.8x more than what Medicare allows for this procedure. Medicare actually pays $150.08 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $252 | $2,618 | 70 | 1,937 | +33.9% |
| Missouri | $245 | $730 | 13 | 384 | +30.2% |
| Ohio | $243 | $371 | 1 | 12 | +29.4% |
| New Jersey | $236 | $1,288 | 9 | 178 | +25.5% |
| Louisiana | $230 | $902 | 35 | 1,307 | +22.3% |
| Colorado | $228 | $344 | 8 | 125 | +21.3% |
| Michigan | $223 | $498 | 21 | 322 | +18.8% |
| Texas | $216 | $770 | 123 | 2,546 | +15.1% |
| Oklahoma | $216 | $461 | 11 | 658 | +15.0% |
| Washington | $213 | $624 | 45 | 558 | +13.2% |
| New Mexico | $212 | $565 | 6 | 158 | +12.6% |
| Oregon | $207 | $556 | 11 | 202 | +9.9% |
| Arizona | $206 | $1,289 | 39 | 1,283 | +9.5% |
| California | $202 | $693 | 59 | 2,145 | +7.7% |
| Mississippi | $201 | $434 | 13 | 215 | +6.7% |
| Kansas | $192 | $518 | 22 | 964 | +2.1% |
| New York | $177 | $1,301 | 45 | 973 | -5.6% |
| Connecticut | $177 | $512 | 13 | 193 | -5.9% |
| Utah | $175 | $876 | 5 | 67 | -6.7% |
| Illinois | $173 | $964 | 44 | 1,789 | -7.8% |
| Massachusetts | $165 | $731 | 19 | 735 | -12.1% |
| Pennsylvania | $164 | $543 | 61 | 1,573 | -12.6% |
| Rhode Island | $161 | $881 | 2 | 104 | -14.2% |
| New Hampshire | $160 | $1,093 | 3 | 31 | -14.7% |
| Idaho | $153 | $501 | 10 | 54 | -18.4% |
| Iowa | $150 | $530 | 8 | 154 | -20.0% |
| Vermont | $148 | $771 | 3 | 131 | -21.1% |
| Georgia | $147 | $760 | 23 | 296 | -21.9% |
| Maine | $146 | $293 | 1 | 12 | -22.5% |
| Virginia | $143 | $724 | 23 | 224 | -24.2% |
| South Carolina | $137 | $518 | 16 | 783 | -27.4% |
| Alabama | $136 | $437 | 14 | 126 | -27.8% |
| North Carolina | $135 | $353 | 48 | 1,210 | -28.2% |
| Wisconsin | $133 | $683 | 9 | 115 | -29.4% |
| Tennessee | $128 | $544 | 40 | 1,112 | -32.1% |
| West Virginia | $120 | $888 | 10 | 196 | -36.3% |
| Minnesota | $116 | $1,364 | 26 | 433 | -38.1% |
| Arkansas | $112 | $295 | 9 | 231 | -40.3% |
| Indiana | $84 | $427 | 22 | 181 | -55.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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