Removal of bone joints between wrist and fingers
Medicare pricing data for 6,955 providers across 51 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $961 | $3,829 | 11 | 50 | +35.2% |
| California | $863 | $5,906 | 462 | 2,510 | +21.4% |
| Maine | $843 | $3,094 | 30 | 104 | +18.6% |
| Nevada | $818 | $6,431 | 51 | 295 | +15.1% |
| Hawaii | $815 | $3,072 | 15 | 42 | +14.7% |
| New Jersey | $795 | $9,382 | 161 | 616 | +11.9% |
| Georgia | $781 | $6,122 | 199 | 984 | +9.9% |
| New York | $774 | $4,686 | 320 | 1,270 | +8.9% |
| Connecticut | $769 | $6,537 | 106 | 468 | +8.2% |
| Maryland | $768 | $5,490 | 119 | 797 | +8.1% |
| Mississippi | $750 | $4,524 | 46 | 362 | +5.5% |
| Colorado | $749 | $5,278 | 174 | 1,214 | +5.4% |
| Alaska | $746 | $9,435 | 30 | 278 | +5.0% |
| Washington | $740 | $3,054 | 216 | 1,274 | +4.1% |
| Massachusetts | $739 | $3,875 | 163 | 798 | +4.0% |
| Texas | $735 | $4,557 | 406 | 2,178 | +3.4% |
| North Carolina | $735 | $4,142 | 223 | 1,472 | +3.4% |
| Illinois | $730 | $6,479 | 272 | 1,345 | +2.7% |
| Michigan | $728 | $4,065 | 209 | 670 | +2.5% |
| Oregon | $724 | $3,848 | 105 | 784 | +1.9% |
| New Hampshire | $719 | $8,446 | 51 | 279 | +1.2% |
| Wyoming | $718 | $4,359 | 35 | 161 | +1.0% |
| Rhode Island | $714 | $3,416 | 34 | 117 | +0.5% |
| New Mexico | $713 | $3,556 | 34 | 184 | +0.3% |
| Utah | $712 | $3,353 | 90 | 608 | +0.2% |
| Virginia | $710 | $4,962 | 163 | 1,522 | -0.1% |
| Tennessee | $701 | $4,434 | 161 | 1,011 | -1.4% |
| Florida | $699 | $5,310 | 480 | 3,292 | -1.6% |
| South Carolina | $693 | $3,580 | 113 | 937 | -2.5% |
| Indiana | $692 | $5,363 | 183 | 1,043 | -2.7% |
| Missouri | $685 | $5,156 | 139 | 594 | -3.6% |
| Pennsylvania | $682 | $4,120 | 317 | 1,501 | -4.0% |
| Kentucky | $674 | $3,423 | 67 | 381 | -5.2% |
| Ohio | $670 | $3,442 | 306 | 1,279 | -5.7% |
| Minnesota | $663 | $4,155 | 186 | 849 | -6.7% |
| Arkansas | $662 | $2,896 | 62 | 415 | -6.9% |
| Oklahoma | $660 | $1,885 | 78 | 405 | -7.1% |
| Delaware | $657 | $4,592 | 26 | 250 | -7.6% |
| Louisiana | $649 | $4,030 | 93 | 455 | -8.7% |
| Arizona | $644 | $4,798 | 163 | 1,731 | -9.4% |
| Alabama | $627 | $3,014 | 130 | 690 | -11.8% |
| Idaho | $614 | $2,889 | 56 | 385 | -13.6% |
| Montana | $614 | $2,787 | 41 | 404 | -13.6% |
| Wisconsin | $603 | $6,753 | 175 | 672 | -15.1% |
| West Virginia | $595 | $2,308 | 34 | 96 | -16.3% |
| North Dakota | $594 | $2,731 | 19 | 211 | -16.5% |
| Iowa | $593 | $4,040 | 83 | 537 | -16.6% |
| Kansas | $566 | $3,889 | 102 | 492 | -20.3% |
| Vermont | $563 | $3,037 | 20 | 73 | -20.8% |
| Nebraska | $532 | $3,424 | 79 | 454 | -25.1% |
| South Dakota | $479 | $2,088 | 46 | 275 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber