25447

Removal of bone joints between wrist and fingers

Medicare pricing data for 6,955 providers across 51 states

🤖AI Overview

This procedure has a 6.6x markup — hospitals charge $4,713 but Medicare allows only $710.72. Uninsured patients may face bills 6.6 times higher than what insurance negotiates. Prices vary significantly by location — from $479 in South Dakota to $961 in District of Columbia. 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

Removal of bone joints between wrist and fingers (HCPCS code 25447) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $710.72, but hospitals typically charge $4,713 — a 6.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$142.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $710.72, your out-of-pocket cost would be approximately $142.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$710.72
Average Hospital Charge
$4,713
Markup Ratio
6.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,713.20
Medicare Allowed$710.72
Medicare Payment$562.30

Hospitals charge 6.6x more than what Medicare allows for this procedure. Medicare actually pays $562.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$961$3,8291150+35.2%
California$863$5,9064622,510+21.4%
Maine$843$3,09430104+18.6%
Nevada$818$6,43151295+15.1%
Hawaii$815$3,0721542+14.7%
New Jersey$795$9,382161616+11.9%
Georgia$781$6,122199984+9.9%
New York$774$4,6863201,270+8.9%
Connecticut$769$6,537106468+8.2%
Maryland$768$5,490119797+8.1%
Mississippi$750$4,52446362+5.5%
Colorado$749$5,2781741,214+5.4%
Alaska$746$9,43530278+5.0%
Washington$740$3,0542161,274+4.1%
Massachusetts$739$3,875163798+4.0%
Texas$735$4,5574062,178+3.4%
North Carolina$735$4,1422231,472+3.4%
Illinois$730$6,4792721,345+2.7%
Michigan$728$4,065209670+2.5%
Oregon$724$3,848105784+1.9%
New Hampshire$719$8,44651279+1.2%
Wyoming$718$4,35935161+1.0%
Rhode Island$714$3,41634117+0.5%
New Mexico$713$3,55634184+0.3%
Utah$712$3,35390608+0.2%
Virginia$710$4,9621631,522-0.1%
Tennessee$701$4,4341611,011-1.4%
Florida$699$5,3104803,292-1.6%
South Carolina$693$3,580113937-2.5%
Indiana$692$5,3631831,043-2.7%
Missouri$685$5,156139594-3.6%
Pennsylvania$682$4,1203171,501-4.0%
Kentucky$674$3,42367381-5.2%
Ohio$670$3,4423061,279-5.7%
Minnesota$663$4,155186849-6.7%
Arkansas$662$2,89662415-6.9%
Oklahoma$660$1,88578405-7.1%
Delaware$657$4,59226250-7.6%
Louisiana$649$4,03093455-8.7%
Arizona$644$4,7981631,731-9.4%
Alabama$627$3,014130690-11.8%
Idaho$614$2,88956385-13.6%
Montana$614$2,78741404-13.6%
Wisconsin$603$6,753175672-15.1%
West Virginia$595$2,3083496-16.3%
North Dakota$594$2,73119211-16.5%
Iowa$593$4,04083537-16.6%
Kansas$566$3,889102492-20.3%
Vermont$563$3,0372073-20.8%
Nebraska$532$3,42479454-25.1%
South Dakota$479$2,08846275-32.6%

⚠️ 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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