Treatment of broken shaft of thigh bone with implant
Medicare pricing data for 5,904 providers across 51 states
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 broken shaft of thigh bone with implant (HCPCS code 27506) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,026, but hospitals typically charge $4,635 — a 4.5x 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 $1,026, your out-of-pocket cost would be approximately $205.14. 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 4.5x more than what Medicare allows for this procedure. Medicare actually pays $815.64 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,220 | $3,797 | 15 | 34 | +19.0% |
| Massachusetts | $1,198 | $5,715 | 105 | 228 | +16.8% |
| Virginia | $1,189 | $4,091 | 137 | 323 | +16.0% |
| New York | $1,189 | $7,186 | 267 | 484 | +16.0% |
| Nevada | $1,177 | $5,946 | 40 | 98 | +14.8% |
| California | $1,155 | $4,071 | 495 | 961 | +12.6% |
| Hawaii | $1,142 | $3,509 | 15 | 22 | +11.3% |
| Maryland | $1,140 | $3,928 | 101 | 198 | +11.1% |
| Ohio | $1,134 | $4,165 | 188 | 349 | +10.6% |
| Rhode Island | $1,123 | $5,427 | 23 | 30 | +9.5% |
| New Jersey | $1,105 | $11,714 | 189 | 382 | +7.7% |
| Michigan | $1,098 | $3,308 | 168 | 300 | +7.1% |
| Pennsylvania | $1,082 | $5,210 | 226 | 419 | +5.5% |
| Illinois | $1,080 | $5,508 | 228 | 401 | +5.3% |
| Kentucky | $1,079 | $3,414 | 86 | 169 | +5.2% |
| North Dakota | $1,067 | $4,424 | 24 | 52 | +4.1% |
| Missouri | $1,049 | $4,282 | 125 | 214 | +2.3% |
| Connecticut | $1,047 | $7,274 | 74 | 118 | +2.1% |
| Tennessee | $1,031 | $4,100 | 130 | 239 | +0.6% |
| Texas | $1,031 | $3,931 | 396 | 785 | +0.5% |
| Oklahoma | $1,025 | $3,401 | 86 | 205 | -0.1% |
| North Carolina | $1,005 | $3,619 | 224 | 421 | -2.0% |
| West Virginia | $1,003 | $3,460 | 36 | 65 | -2.2% |
| New Mexico | $1,002 | $3,451 | 34 | 55 | -2.3% |
| Arkansas | $1,002 | $2,718 | 72 | 118 | -2.3% |
| Georgia | $998 | $4,307 | 195 | 310 | -2.7% |
| South Carolina | $988 | $4,054 | 117 | 230 | -3.7% |
| Washington | $979 | $3,321 | 120 | 200 | -4.6% |
| Louisiana | $978 | $3,615 | 102 | 169 | -4.6% |
| Florida | $969 | $4,786 | 469 | 967 | -5.6% |
| Alaska | $957 | $7,160 | 18 | 36 | -6.7% |
| New Hampshire | $952 | $6,147 | 36 | 51 | -7.1% |
| Vermont | $939 | $4,173 | 12 | 17 | -8.5% |
| Mississippi | $938 | $3,692 | 59 | 119 | -8.6% |
| Utah | $935 | $2,863 | 60 | 87 | -8.8% |
| Indiana | $917 | $3,837 | 160 | 286 | -10.6% |
| Minnesota | $893 | $4,688 | 115 | 192 | -12.9% |
| Oregon | $880 | $4,030 | 72 | 127 | -14.2% |
| Colorado | $878 | $3,555 | 102 | 152 | -14.4% |
| Kansas | $877 | $3,261 | 57 | 125 | -14.5% |
| Alabama | $877 | $3,325 | 124 | 191 | -14.5% |
| Arizona | $869 | $3,498 | 146 | 271 | -15.3% |
| Wisconsin | $841 | $8,675 | 129 | 187 | -18.0% |
| Iowa | $837 | $3,678 | 69 | 152 | -18.4% |
| Wyoming | $834 | $3,773 | 26 | 31 | -18.7% |
| Maine | $822 | $2,565 | 29 | 44 | -19.9% |
| Montana | $811 | $2,977 | 49 | 66 | -20.9% |
| Idaho | $790 | $3,279 | 39 | 61 | -23.0% |
| Delaware | $741 | $5,950 | 25 | 81 | -27.7% |
| South Dakota | $706 | $2,269 | 36 | 83 | -31.2% |
| Nebraska | $664 | $3,346 | 50 | 89 | -35.2% |
⚠️ 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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