Closed treatment of broken top of upper arm bone
Medicare pricing data for 12,037 providers across 52 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
Closed treatment of broken top of upper arm bone (HCPCS code 23600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $299.42, but hospitals typically charge $1,289 — a 4.3x 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 $299.42, your out-of-pocket cost would be approximately $59.88. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $232.51 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $356 | $2,452 | 330 | 874 | +18.8% |
| New York | $356 | $2,166 | 791 | 1,781 | +18.8% |
| Connecticut | $332 | $1,347 | 181 | 367 | +10.9% |
| Maryland | $327 | $1,274 | 327 | 701 | +9.1% |
| Wyoming | $326 | $819 | 14 | 24 | +8.9% |
| Massachusetts | $326 | $1,341 | 398 | 1,006 | +8.7% |
| California | $320 | $1,395 | 865 | 1,583 | +7.0% |
| New Hampshire | $320 | $1,333 | 33 | 61 | +7.0% |
| Hawaii | $311 | $1,015 | 35 | 62 | +3.8% |
| Louisiana | $310 | $1,175 | 101 | 236 | +3.5% |
| Florida | $309 | $1,237 | 939 | 2,319 | +3.2% |
| Pennsylvania | $308 | $1,017 | 720 | 1,611 | +3.0% |
| Colorado | $307 | $1,268 | 135 | 217 | +2.5% |
| Rhode Island | $302 | $1,135 | 68 | 140 | +1.0% |
| Michigan | $302 | $916 | 507 | 997 | +0.9% |
| District of Columbia | $301 | $1,487 | 14 | 26 | +0.6% |
| Delaware | $301 | $1,460 | 62 | 152 | +0.6% |
| South Carolina | $297 | $934 | 197 | 505 | -0.7% |
| Alaska | $297 | $2,058 | 13 | 16 | -0.9% |
| Nevada | $297 | $1,523 | 103 | 177 | -1.0% |
| Montana | $294 | $895 | 18 | 24 | -1.9% |
| Utah | $292 | $1,062 | 103 | 189 | -2.3% |
| Indiana | $291 | $963 | 355 | 782 | -2.9% |
| Illinois | $290 | $1,400 | 468 | 1,095 | -3.1% |
| New Mexico | $289 | $1,038 | 56 | 138 | -3.3% |
| West Virginia | $289 | $940 | 113 | 268 | -3.5% |
| Maine | $289 | $886 | 23 | 47 | -3.6% |
| Iowa | $287 | $1,030 | 144 | 292 | -4.0% |
| Missouri | $287 | $1,150 | 228 | 493 | -4.2% |
| Washington | $287 | $1,215 | 223 | 373 | -4.2% |
| Georgia | $287 | $1,337 | 310 | 581 | -4.2% |
| Ohio | $286 | $1,026 | 676 | 1,366 | -4.5% |
| Alabama | $285 | $1,198 | 272 | 557 | -5.0% |
| Texas | $284 | $1,282 | 643 | 1,151 | -5.2% |
| South Dakota | $283 | $933 | 50 | 94 | -5.4% |
| Nebraska | $283 | $1,093 | 33 | 52 | -5.5% |
| North Carolina | $283 | $1,104 | 406 | 777 | -5.6% |
| Oregon | $282 | $1,323 | 71 | 140 | -5.8% |
| North Dakota | $282 | $1,282 | 20 | 65 | -5.9% |
| Kansas | $281 | $1,070 | 108 | 233 | -6.1% |
| Kentucky | $281 | $966 | 155 | 379 | -6.1% |
| Arizona | $281 | $1,447 | 203 | 422 | -6.1% |
| Vermont | $281 | $606 | 4 | 11 | -6.3% |
| Wisconsin | $279 | $1,780 | 192 | 322 | -6.8% |
| Puerto Rico | $277 | $511 | 11 | 14 | -7.3% |
| Oklahoma | $271 | $1,214 | 140 | 319 | -9.4% |
| Tennessee | $271 | $1,198 | 308 | 621 | -9.4% |
| Mississippi | $270 | $1,313 | 167 | 370 | -9.7% |
| Arkansas | $251 | $966 | 54 | 99 | -16.3% |
| Idaho | $246 | $1,422 | 27 | 42 | -17.8% |
| Minnesota | $237 | $1,140 | 276 | 492 | -20.9% |
| Virginia | $224 | $798 | 303 | 997 | -25.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber