26600

Closed treatment of broken hand bone

Medicare pricing data for 3,253 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

Closed treatment of broken hand bone (HCPCS code 26600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $283.52, but hospitals typically charge $990.68 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$56.70

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $283.52, your out-of-pocket cost would be approximately $56.70. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$283.52
Average Hospital Charge
$990.68
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$990.68
Medicare Allowed$283.52
Medicare Payment$219.06

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $219.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$329$738511+15.9%
New York$326$1,607219572+15.0%
New Jersey$321$1,915107294+13.3%
District of Columbia$312$1,104312+10.1%
Connecticut$312$1,03547102+10.0%
California$311$889152321+9.6%
Maryland$308$80390210+8.8%
Massachusetts$303$1,047100284+6.8%
Virginia$294$99186184+3.8%
Washington$293$7803858+3.3%
Nevada$293$1,4391835+3.2%
Colorado$289$1,1064257+2.0%
Pennsylvania$287$914249579+1.1%
Illinois$285$1,092154348+0.7%
Maine$285$8151520+0.5%
Arizona$285$9672953+0.4%
Florida$280$1,027229586-1.4%
Minnesota$278$1,1706384-2.0%
New Hampshire$277$1,0691220-2.4%
Oklahoma$274$6242557-3.4%
West Virginia$273$7942855-3.6%
Louisiana$273$8203781-3.8%
Michigan$272$669137258-4.0%
Oregon$270$9041634-4.8%
South Dakota$269$9601024-5.1%
Arkansas$268$6831013-5.4%
Wyoming$268$1,006814-5.4%
Ohio$267$687176350-5.8%
Texas$266$823111178-6.0%
Kansas$266$6874878-6.1%
Wisconsin$266$1,5685296-6.2%
Nebraska$264$725918-6.7%
Missouri$264$93676191-6.8%
Delaware$263$1,2481943-7.1%
Indiana$263$688122232-7.2%
New Mexico$263$6833876-7.2%
North Carolina$262$703102194-7.6%
Mississippi$262$9914588-7.7%
Utah$262$6853562-7.7%
Iowa$261$87467135-7.8%
Georgia$259$1,04291156-8.7%
South Carolina$256$81684183-9.6%
Kentucky$254$6995299-10.3%
Alabama$254$50883179-10.4%
Idaho$254$654513-10.6%
Tennessee$253$81182151-10.8%
North Dakota$227$9991826-19.9%
Rhode Island$223$1,2101213-21.2%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber