29105

Application of lower and upper arm splint

Medicare pricing data for 13,920 providers across 52 states

🤖AI Overview

This procedure has a 5.4x markup — hospitals charge $312.12 but Medicare allows only $58.19. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. Prices vary significantly by location — from $33 in District of Columbia to $76 in Alaska. Where you get this procedure matters more than almost any other factor. 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 lower and upper arm splint (HCPCS code 29105) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $58.19, but hospitals typically charge $312.12 — a 5.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $58.19, your out-of-pocket cost would be approximately $11.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$58.19
Average Hospital Charge
$312.12
Markup Ratio
5.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$312.12
Medicare Allowed$58.19
Medicare Payment$44.39

Hospitals charge 5.4x more than what Medicare allows for this procedure. Medicare actually pays $44.39 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$76$4165784+30.7%
Maryland$70$251293411+19.5%
Connecticut$65$311164270+11.5%
California$64$3251,5832,651+10.0%
Hawaii$63$2973956+8.4%
Washington$62$281336491+7.3%
New York$62$3987431,051+7.1%
Virginia$62$287409612+6.1%
Mississippi$61$282129241+4.7%
Rhode Island$61$3665375+4.4%
Colorado$61$268220274+4.3%
Florida$60$3469741,555+3.1%
Nevada$60$365129189+3.1%
Georgia$60$338368578+3.0%
Oregon$60$286161220+2.4%
North Carolina$60$270494760+2.4%
Arizona$59$296304483+2.1%
Louisiana$59$293201298+1.4%
Kansas$59$272134199+0.8%
Massachusetts$58$279290415+0.3%
Utah$58$226164199-0.1%
Illinois$58$348682972-1.2%
Minnesota$57$308281364-1.6%
New Jersey$57$400420602-1.8%
New Hampshire$57$2887088-1.8%
Alabama$57$257191299-2.0%
Texas$56$3109221,362-3.2%
Montana$56$2195767-3.5%
Tennessee$55$310412769-4.7%
Pennsylvania$55$284543704-6.0%
Delaware$54$2766396-6.5%
Wyoming$54$2333661-6.7%
New Mexico$54$2626391-6.9%
Nebraska$54$278109156-7.7%
Michigan$54$295309389-7.9%
Kentucky$53$292219346-9.0%
Iowa$53$301132184-9.4%
Arkansas$53$283128220-9.8%
South Dakota$52$2636395-10.1%
South Carolina$51$289285425-12.3%
Oklahoma$51$263275464-12.3%
Indiana$51$255273413-12.6%
Wisconsin$50$480265345-13.5%
Missouri$50$286202265-13.6%
Ohio$49$300352448-16.3%
Maine$48$2236888-18.2%
North Dakota$47$3163848-19.9%
West Virginia$46$2536576-20.7%
Idaho$46$22883107-20.8%
Puerto Rico$41$2051722-29.9%
Vermont$38$2411417-35.3%
District of Columbia$33$2221620-43.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber