25600

Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation

Medicare pricing data for 13,828 providers across 52 states

🤖AI Overview

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 forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation (HCPCS code 25600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $309.65, but hospitals typically charge $1,304 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$61.93

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $309.65, your out-of-pocket cost would be approximately $61.93. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$309.65
Average Hospital Charge
$1,304
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,303.97
Medicare Allowed$309.65
Medicare Payment$239.85

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $239.85 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$373$2,3133401,178+20.4%
New York$365$1,9698732,260+17.9%
Connecticut$344$1,376200467+11.3%
Maryland$339$1,295379969+9.3%
Puerto Rico$335$3872034+8.3%
Massachusetts$334$1,3474461,180+7.9%
District of Columbia$333$1,6533079+7.4%
California$333$1,4021,0602,058+7.4%
Alaska$331$2,1133349+6.8%
New Hampshire$329$1,16950109+6.4%
Pennsylvania$321$1,1748582,206+3.8%
Florida$319$1,3139992,477+3.1%
Nevada$319$1,871110216+3.0%
Hawaii$317$1,0535290+2.5%
Louisiana$310$1,106101214+0.1%
Michigan$308$9485851,235-0.5%
Washington$308$1,165224431-0.6%
Colorado$306$1,478183321-1.1%
Wyoming$305$1,1144165-1.5%
Rhode Island$305$1,2735894-1.5%
Delaware$304$1,47769150-1.7%
Maine$303$1,1003361-2.1%
South Dakota$303$1,0254987-2.1%
Illinois$303$1,3135231,384-2.2%
North Dakota$302$1,0982885-2.6%
Utah$301$975110230-2.6%
Indiana$299$987345895-3.6%
Alabama$299$1,041256658-3.6%
South Carolina$297$993233593-4.1%
West Virginia$297$962105281-4.2%
Oregon$296$1,25172162-4.3%
Missouri$296$1,072294749-4.5%
New Mexico$295$90677224-4.7%
Iowa$294$1,011150453-5.0%
Montana$293$8472028-5.3%
Georgia$292$1,340360704-5.8%
Arizona$292$1,196254535-5.8%
Kentucky$290$967184448-6.2%
Nebraska$290$8753571-6.4%
Ohio$289$1,0898011,756-6.7%
Texas$288$1,3847841,328-6.9%
Wisconsin$288$1,903248498-6.9%
Kansas$286$1,158158332-7.7%
North Carolina$284$1,164479951-8.3%
Mississippi$281$1,337140320-9.2%
Oklahoma$280$1,228169342-9.7%
Tennessee$277$1,183322614-10.5%
Arkansas$275$1,0084885-11.1%
Vermont$273$8993148-11.7%
Idaho$272$1,0534479-12.2%
Virginia$266$1,0433901,148-14.1%
Minnesota$218$962355768-29.7%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber