Application of hand and lower forearm cast
Medicare pricing data for 2,009 providers across 43 states
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
Application of hand and lower forearm cast (HCPCS code 29085) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $90.53, but hospitals typically charge $296.89 — a 3.3x 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 $90.53, your out-of-pocket cost would be approximately $18.11. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $69.39 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $106 | $337 | 30 | 107 | +17.2% |
| California | $103 | $315 | 174 | 758 | +13.9% |
| Connecticut | $100 | $306 | 33 | 92 | +10.3% |
| New York | $98 | $430 | 79 | 172 | +8.7% |
| Massachusetts | $98 | $340 | 35 | 174 | +8.0% |
| Maryland | $98 | $223 | 32 | 110 | +7.7% |
| Illinois | $96 | $316 | 116 | 494 | +6.3% |
| Florida | $96 | $315 | 98 | 398 | +6.2% |
| Delaware | $96 | $295 | 19 | 111 | +6.2% |
| Washington | $93 | $274 | 43 | 114 | +3.3% |
| Pennsylvania | $92 | $272 | 51 | 145 | +1.9% |
| Colorado | $92 | $288 | 48 | 143 | +1.6% |
| Michigan | $91 | $232 | 62 | 311 | +0.7% |
| Texas | $91 | $282 | 111 | 343 | 0.0% |
| Nevada | $90 | $444 | 34 | 116 | -0.9% |
| Ohio | $89 | $227 | 33 | 64 | -2.2% |
| Georgia | $88 | $337 | 73 | 240 | -2.4% |
| Arizona | $88 | $265 | 54 | 193 | -2.7% |
| Virginia | $88 | $269 | 68 | 179 | -3.0% |
| New Hampshire | $87 | $260 | 19 | 75 | -3.8% |
| Minnesota | $87 | $326 | 38 | 81 | -3.8% |
| Louisiana | $87 | $291 | 30 | 83 | -4.4% |
| Montana | $86 | $234 | 17 | 39 | -5.1% |
| South Carolina | $86 | $218 | 42 | 137 | -5.3% |
| Missouri | $86 | $254 | 26 | 67 | -5.3% |
| Kentucky | $85 | $202 | 10 | 13 | -5.6% |
| South Dakota | $84 | $388 | 11 | 29 | -7.1% |
| Wisconsin | $84 | $628 | 51 | 134 | -7.2% |
| Oklahoma | $84 | $215 | 46 | 237 | -7.6% |
| Oregon | $83 | $296 | 43 | 135 | -7.9% |
| North Carolina | $83 | $292 | 133 | 379 | -8.0% |
| Utah | $83 | $208 | 14 | 41 | -8.1% |
| Indiana | $81 | $258 | 51 | 139 | -10.3% |
| Alabama | $81 | $215 | 42 | 108 | -10.4% |
| Tennessee | $80 | $278 | 82 | 263 | -11.4% |
| Nebraska | $80 | $327 | 21 | 67 | -11.4% |
| Arkansas | $80 | $198 | 21 | 52 | -11.8% |
| Maine | $79 | $225 | 21 | 71 | -12.4% |
| Kansas | $78 | $230 | 24 | 62 | -13.4% |
| Iowa | $76 | $304 | 19 | 28 | -15.8% |
| Mississippi | $68 | $243 | 10 | 22 | -24.7% |
| Vermont | $64 | $161 | 5 | 13 | -28.9% |
| Idaho | $56 | $234 | 11 | 74 | -38.0% |
⚠️ 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