26341

Manipulation of finger for connective tissue release following enzyme injection

Medicare pricing data for 1,424 providers across 48 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Manipulation of finger for connective tissue release following enzyme injection (HCPCS code 26341) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $108.21, but hospitals typically charge $424.72 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $108.21, your out-of-pocket cost would be approximately $21.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$108.21
Average Hospital Charge
$424.72
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$424.72
Medicare Allowed$108.21
Medicare Payment$83.28

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $83.28 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$127$65190468+17.3%
Alaska$126$1,013721+16.5%
Maryland$122$27533164+12.4%
California$121$476129675+12.3%
New Jersey$119$72451261+10.4%
Colorado$118$3422896+9.2%
Connecticut$118$60533131+9.1%
Delaware$117$404543+8.2%
Illinois$114$51459296+5.1%
Massachusetts$114$42333276+5.1%
Rhode Island$113$439514+4.8%
Nevada$113$4641873+4.2%
Arizona$110$32424171+2.0%
Montana$110$3028121+1.4%
New Hampshire$109$4551276+0.8%
Georgia$107$43540184-0.7%
Washington$107$36847222-1.0%
Pennsylvania$106$33272331-1.7%
Florida$106$383104708-2.1%
Oregon$105$36217202-3.0%
Michigan$104$42332129-3.6%
South Carolina$103$28532175-4.4%
Kansas$103$5281529-4.6%
North Carolina$103$31356300-5.1%
Wisconsin$102$91229102-5.6%
Texas$102$43857286-6.2%
Minnesota$101$44731115-6.7%
Virginia$100$36942212-7.9%
Iowa$99$3331147-8.8%
Oklahoma$98$2081449-9.7%
Tennessee$98$33529142-9.9%
Indiana$97$35131152-10.1%
Mississippi$97$435975-10.3%
Missouri$97$41430120-10.7%
Maine$96$2321033-11.0%
Kentucky$96$3622696-11.5%
Ohio$95$28661249-12.0%
Utah$95$2281544-12.0%
Louisiana$95$436856-12.5%
Alabama$95$2191651-12.5%
Arkansas$94$228952-13.6%
West Virginia$92$222716-14.6%
South Dakota$91$554993-15.8%
Nebraska$89$400748-17.8%
New Mexico$86$306422-20.5%
Vermont$79$131227-26.9%
North Dakota$76$171416-29.6%
Idaho$74$296325-31.2%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber