27507

Treatment of broken middle of thigh bone with placement of stabilizing device

Medicare pricing data for 3,921 providers across 50 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $3,507 but Medicare allows only $633.20. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. 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

Treatment of broken middle of thigh bone with placement of stabilizing device (HCPCS code 27507) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $633.20, but hospitals typically charge $3,507 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$126.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $633.20, your out-of-pocket cost would be approximately $126.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$633.20
Average Hospital Charge
$3,507
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,507.48
Medicare Allowed$633.20
Medicare Payment$503.88

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $503.88 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Virginia$753$3,29489161+19.0%
Maryland$753$3,09663105+18.9%
Massachusetts$748$4,25577123+18.2%
New York$735$7,005181299+16.0%
West Virginia$724$2,6021823+14.4%
Illinois$723$4,828166302+14.1%
Rhode Island$716$4,4221725+13.1%
Michigan$714$2,645104143+12.8%
Pennsylvania$706$3,249171300+11.5%
New Jersey$697$8,35898165+10.0%
California$691$2,954344507+9.2%
Ohio$679$2,674119174+7.2%
Nevada$679$3,5222846+7.2%
Kentucky$656$2,2524883+3.6%
Oklahoma$654$2,1055899+3.2%
South Carolina$650$3,1125477+2.6%
Tennessee$641$2,85775128+1.2%
Missouri$633$3,313901540.0%
Mississippi$629$2,6743468-0.7%
Texas$621$2,871228424-1.9%
Oregon$616$3,1005594-2.8%
North Carolina$615$2,770113199-2.8%
Georgia$614$3,318125202-3.0%
New Hampshire$613$5,0393453-3.2%
Delaware$596$4,7271326-5.9%
North Dakota$593$3,6361934-6.4%
Florida$588$3,466344621-7.2%
Kansas$585$2,5636087-7.6%
Louisiana$582$2,8645887-8.0%
Wisconsin$578$7,61987122-8.6%
Minnesota$578$3,61593130-8.8%
Idaho$577$2,6563566-8.9%
Arkansas$568$1,9863849-10.3%
District of Columbia$565$2,941915-10.8%
Washington$565$2,340105156-10.8%
Indiana$563$2,94692157-11.0%
Vermont$561$3,3391116-11.3%
Arizona$560$2,99495181-11.6%
Montana$559$2,4473449-11.7%
Utah$557$1,7233453-12.1%
Maine$552$1,7652731-12.9%
Iowa$547$2,7374292-13.7%
Connecticut$544$3,0455787-14.0%
Alaska$543$4,7761731-14.2%
New Mexico$540$2,1532024-14.7%
Colorado$534$2,72383152-15.7%
South Dakota$516$2,4692951-18.5%
Alabama$498$2,83779129-21.3%
Wyoming$472$2,0031422-25.5%
Nebraska$384$2,3033148-39.3%

⚠️ 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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