Computer-assisted surgery for muscle and bone procedure
Medicare pricing data for 3,274 providers across 51 states
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
Computer-assisted surgery for muscle and bone procedure (HCPCS code 20985) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $136.06, but hospitals typically charge $679.23 — a 5.0x 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 $136.06, your out-of-pocket cost would be approximately $27.21. 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 5.0x more than what Medicare allows for this procedure. Medicare actually pays $108.52 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $171 | $1,410 | 200 | 6,720 | +25.3% |
| District of Columbia | $164 | $389 | 8 | 163 | +20.4% |
| Maryland | $154 | $416 | 53 | 1,197 | +13.5% |
| New Jersey | $152 | $1,271 | 88 | 3,209 | +11.5% |
| Illinois | $151 | $881 | 130 | 3,339 | +10.8% |
| Connecticut | $151 | $590 | 68 | 1,379 | +10.8% |
| Rhode Island | $148 | $506 | 13 | 532 | +8.7% |
| Massachusetts | $147 | $905 | 59 | 1,673 | +7.8% |
| Virginia | $147 | $564 | 79 | 1,959 | +7.7% |
| Florida | $146 | $646 | 255 | 4,604 | +7.1% |
| Delaware | $145 | $296 | 3 | 202 | +6.4% |
| Pennsylvania | $144 | $663 | 73 | 1,438 | +5.9% |
| New Hampshire | $144 | $455 | 24 | 746 | +5.7% |
| Georgia | $140 | $631 | 65 | 1,160 | +2.8% |
| Ohio | $139 | $411 | 91 | 1,240 | +2.0% |
| Louisiana | $139 | $602 | 52 | 813 | +2.0% |
| Michigan | $137 | $428 | 97 | 1,607 | +0.5% |
| Texas | $137 | $655 | 241 | 4,342 | +0.4% |
| South Carolina | $136 | $400 | 58 | 1,977 | +0.2% |
| Vermont | $135 | $915 | 10 | 303 | -0.6% |
| Missouri | $135 | $477 | 32 | 494 | -0.7% |
| Oklahoma | $135 | $460 | 48 | 2,264 | -0.8% |
| Kentucky | $134 | $368 | 52 | 1,245 | -1.7% |
| Alabama | $134 | $364 | 42 | 779 | -1.7% |
| Hawaii | $134 | $419 | 9 | 282 | -1.8% |
| Maine | $133 | $323 | 6 | 59 | -2.6% |
| South Dakota | $133 | $518 | 3 | 140 | -2.6% |
| West Virginia | $132 | $414 | 19 | 293 | -2.9% |
| Colorado | $132 | $567 | 91 | 2,566 | -3.1% |
| New Mexico | $132 | $449 | 15 | 317 | -3.2% |
| Mississippi | $132 | $1,235 | 37 | 1,864 | -3.3% |
| Wisconsin | $130 | $811 | 52 | 1,043 | -4.6% |
| Idaho | $129 | $453 | 54 | 1,418 | -5.4% |
| Minnesota | $127 | $984 | 70 | 1,008 | -6.7% |
| California | $126 | $556 | 326 | 9,205 | -7.6% |
| Washington | $125 | $374 | 38 | 829 | -8.3% |
| Tennessee | $124 | $451 | 51 | 887 | -8.6% |
| Iowa | $124 | $413 | 29 | 810 | -8.6% |
| North Dakota | $123 | $399 | 4 | 108 | -9.9% |
| Nebraska | $122 | $441 | 15 | 510 | -10.4% |
| Alaska | $122 | $580 | 19 | 581 | -10.7% |
| Arkansas | $121 | $353 | 24 | 533 | -11.2% |
| Oregon | $120 | $378 | 51 | 1,071 | -11.5% |
| Wyoming | $119 | $925 | 16 | 73 | -12.3% |
| North Carolina | $118 | $529 | 99 | 1,706 | -13.3% |
| Arizona | $114 | $394 | 124 | 3,098 | -16.1% |
| Indiana | $113 | $697 | 93 | 1,889 | -17.1% |
| Kansas | $110 | $362 | 56 | 1,609 | -19.1% |
| Montana | $109 | $873 | 14 | 536 | -19.8% |
| Utah | $102 | $390 | 32 | 513 | -25.3% |
| Nevada | $97 | $412 | 44 | 1,519 | -29.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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