29445

Application of walking cast covering foot, ankle, and lower leg

Medicare pricing data for 2,562 providers across 44 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 walking cast covering foot, ankle, and lower leg (HCPCS code 29445) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $99.74, but hospitals typically charge $343.55 — a 3.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$19.95

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $99.74, your out-of-pocket cost would be approximately $19.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$99.74
Average Hospital Charge
$343.55
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$343.55
Medicare Allowed$99.74
Medicare Payment$77.91

Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $77.91 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Wyoming$126$228495+26.5%
New Mexico$112$241860+12.5%
California$111$3841311,089+10.9%
Maryland$110$36458709+10.6%
New York$107$468122751+7.7%
Georgia$106$38656479+6.0%
Washington$106$30247326+6.0%
Michigan$105$274112662+5.6%
Florida$105$296125928+5.0%
Massachusetts$103$35263294+3.7%
Nevada$103$256743+3.2%
Minnesota$103$47540165+3.1%
Pennsylvania$103$300159878+3.0%
Virginia$101$34667456+1.6%
New Jersey$101$268105878+1.0%
North Carolina$100$35189501+0.5%
Iowa$100$35845282-0.2%
Connecticut$99$51131233-1.0%
Alabama$99$31040224-1.2%
Tennessee$98$23237689-1.3%
Mississippi$98$31523138-1.8%
Montana$98$30911143-1.9%
Ohio$98$254120802-2.1%
Texas$97$3282022,128-2.5%
Indiana$97$34873403-2.9%
Missouri$97$39473528-3.0%
Colorado$97$30541366-3.0%
Illinois$97$461100537-3.1%
South Carolina$95$35850385-4.5%
Kentucky$95$29152364-4.7%
Delaware$94$199755-5.3%
Nebraska$94$3141473-5.5%
North Dakota$94$1638103-6.1%
Arkansas$93$63126294-6.7%
Oklahoma$93$23131733-7.1%
Louisiana$93$28361403-7.2%
Utah$92$25539296-7.4%
Oregon$92$33850353-7.6%
Arizona$91$27756367-8.3%
New Hampshire$90$4161061-9.7%
Wisconsin$88$1,11860303-11.3%
South Dakota$87$35612159-12.6%
Kansas$85$3171152-14.9%
Idaho$84$228695-16.0%

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

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