29125

Application of nonmoveable forearm to hand splint

Medicare pricing data for 31,069 providers across 52 states

🤖AI Overview

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 nonmoveable forearm to hand splint (HCPCS code 29125) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.28, but hospitals typically charge $236.48 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.26

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $51.28, your out-of-pocket cost would be approximately $10.26. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$51.28
Average Hospital Charge
$236.48
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$236.48
Medicare Allowed$51.28
Medicare Payment$38.77

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $38.77 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$63$343124378+23.3%
Hawaii$60$19095219+16.8%
New York$60$3222,1664,918+16.4%
Maryland$59$1877021,632+15.2%
California$56$2403,2478,441+9.6%
New Jersey$54$3069772,070+5.8%
Connecticut$54$250390784+5.3%
Minnesota$54$2556701,443+5.1%
Florida$53$2481,8345,057+3.5%
Puerto Rico$53$1463362+3.5%
Washington$53$2075941,124+2.4%
Colorado$52$206527960+2.2%
Nevada$52$285221478+2.1%
Massachusetts$52$2038481,747+1.8%
Georgia$52$2657251,651+1.6%
Arizona$52$2106351,594+1.3%
New Hampshire$51$217224413-0.1%
Virginia$50$2119512,201-1.6%
Rhode Island$50$243138284-1.7%
Texas$50$2351,8503,788-3.3%
Oregon$49$210346657-3.5%
Michigan$49$1989771,952-4.1%
Wyoming$49$17979129-4.2%
Illinois$49$2591,4112,702-4.9%
New Mexico$49$174150229-5.2%
Montana$49$155129232-5.3%
North Carolina$48$2101,0101,912-5.4%
Utah$48$192294459-5.7%
Maine$48$175185289-5.8%
Pennsylvania$48$2021,5162,877-6.1%
Kansas$48$195329732-6.9%
Tennessee$48$2336741,390-7.3%
District of Columbia$47$20560100-7.4%
Arkansas$47$185269804-7.9%
Wisconsin$47$3807071,249-8.2%
South Carolina$47$2046691,436-8.5%
Oklahoma$47$178445923-8.7%
Nebraska$46$214198437-9.6%
Mississippi$46$223279631-10.9%
Missouri$46$221451785-11.1%
Louisiana$45$284405624-12.6%
Alabama$44$173388691-13.9%
Kentucky$44$224403783-14.5%
Indiana$44$2127291,313-14.7%
Idaho$44$182186333-14.9%
Iowa$44$217314621-15.0%
Ohio$44$2129181,512-15.1%
South Dakota$42$175132230-17.7%
North Dakota$41$22889132-20.0%
West Virginia$41$189160220-20.7%
Vermont$40$16664105-22.8%
Delaware$38$189126337-26.5%

⚠️ 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