Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device
Medicare pricing data for 9,059 providers across 52 states
Prices vary significantly by location — from $634 in South Dakota to $2,127 in California. 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
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS code 25609) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,543, but hospitals typically charge $6,456 — a 4.2x 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 $1,543, your out-of-pocket cost would be approximately $308.55. 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 4.2x more than what Medicare allows for this procedure. Medicare actually pays $1,227 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $2,127 | $8,590 | 717 | 2,935 | +37.8% |
| Hawaii | $2,014 | $5,089 | 24 | 52 | +30.5% |
| Maryland | $2,007 | $8,950 | 175 | 688 | +30.1% |
| Connecticut | $1,929 | $8,298 | 113 | 319 | +25.0% |
| Alaska | $1,887 | $9,736 | 43 | 156 | +22.3% |
| Mississippi | $1,814 | $7,798 | 84 | 326 | +17.6% |
| Delaware | $1,765 | $6,153 | 38 | 164 | +14.4% |
| Nevada | $1,759 | $7,328 | 62 | 194 | +14.0% |
| Georgia | $1,736 | $7,049 | 264 | 750 | +12.5% |
| New York | $1,670 | $9,233 | 402 | 1,408 | +8.2% |
| Virginia | $1,662 | $5,590 | 220 | 873 | +7.8% |
| Arizona | $1,644 | $6,219 | 217 | 866 | +6.6% |
| New Jersey | $1,637 | $10,699 | 255 | 676 | +6.1% |
| Iowa | $1,624 | $6,080 | 87 | 266 | +5.3% |
| Oregon | $1,610 | $4,903 | 115 | 328 | +4.4% |
| Pennsylvania | $1,604 | $7,485 | 367 | 1,228 | +4.0% |
| New Mexico | $1,596 | $4,502 | 42 | 147 | +3.4% |
| Washington | $1,585 | $4,715 | 256 | 740 | +2.7% |
| Florida | $1,577 | $7,270 | 767 | 3,039 | +2.2% |
| Illinois | $1,561 | $7,125 | 337 | 1,363 | +1.2% |
| Tennessee | $1,541 | $5,579 | 235 | 726 | -0.1% |
| Minnesota | $1,540 | $6,412 | 180 | 431 | -0.2% |
| Michigan | $1,537 | $7,105 | 221 | 613 | -0.3% |
| Colorado | $1,534 | $6,520 | 194 | 637 | -0.6% |
| North Carolina | $1,521 | $5,079 | 294 | 1,079 | -1.4% |
| Rhode Island | $1,511 | $5,800 | 36 | 125 | -2.0% |
| Indiana | $1,493 | $7,588 | 245 | 665 | -3.2% |
| Utah | $1,412 | $4,881 | 88 | 231 | -8.5% |
| District of Columbia | $1,410 | $5,594 | 13 | 34 | -8.6% |
| South Carolina | $1,354 | $4,315 | 174 | 634 | -12.2% |
| Wyoming | $1,320 | $5,743 | 43 | 78 | -14.5% |
| New Hampshire | $1,307 | $5,893 | 46 | 166 | -15.3% |
| Texas | $1,306 | $5,415 | 639 | 1,819 | -15.3% |
| Ohio | $1,276 | $3,814 | 319 | 907 | -17.3% |
| Massachusetts | $1,236 | $5,123 | 210 | 706 | -19.9% |
| Louisiana | $1,225 | $4,656 | 137 | 446 | -20.6% |
| Montana | $1,212 | $3,524 | 54 | 141 | -21.4% |
| Idaho | $1,184 | $3,882 | 57 | 161 | -23.3% |
| Arkansas | $1,180 | $4,015 | 75 | 230 | -23.5% |
| Missouri | $1,170 | $4,974 | 173 | 518 | -24.2% |
| Nebraska | $1,151 | $4,226 | 80 | 356 | -25.4% |
| Puerto Rico | $1,143 | $1,390 | 20 | 31 | -25.9% |
| Wisconsin | $1,118 | $7,381 | 179 | 459 | -27.6% |
| Alabama | $1,117 | $2,846 | 156 | 361 | -27.6% |
| Kentucky | $1,107 | $4,026 | 125 | 366 | -28.3% |
| West Virginia | $981 | $4,026 | 33 | 63 | -36.4% |
| Kansas | $870 | $3,543 | 126 | 384 | -43.6% |
| Oklahoma | $855 | $2,198 | 111 | 347 | -44.6% |
| North Dakota | $851 | $3,386 | 35 | 107 | -44.8% |
| Maine | $794 | $2,882 | 31 | 44 | -48.5% |
| Vermont | $788 | $2,986 | 12 | 17 | -48.9% |
| South Dakota | $634 | $2,291 | 56 | 181 | -58.9% |
⚠️ 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