29824

Partial removal of collar bone at shoulder using an endoscope

Medicare pricing data for 9,258 providers across 51 states

🤖AI Overview

This procedure has a 11.8x markup — hospitals charge $4,000 but Medicare allows only $338.95. Uninsured patients may face bills 11.8 times higher than what insurance negotiates. Prices vary significantly by location — from $157 in South Dakota to $484 in California. 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

Partial removal of collar bone at shoulder using an endoscope (HCPCS code 29824) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $338.95, but hospitals typically charge $4,000 — a 11.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$67.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $338.95, your out-of-pocket cost would be approximately $67.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$338.95
Average Hospital Charge
$4,000
Markup Ratio
11.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,999.73
Medicare Allowed$338.95
Medicare Payment$269.87

Hospitals charge 11.8x more than what Medicare allows for this procedure. Medicare actually pays $269.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$484$5,1276473,056+42.9%
Connecticut$477$5,743120400+40.7%
Alaska$467$7,68845186+37.7%
Delaware$456$4,55524194+34.6%
Maryland$426$6,996170979+25.7%
New York$393$4,7204291,460+15.8%
Florida$390$5,5336454,604+14.9%
Colorado$384$3,919204900+13.2%
Arizona$381$4,7591821,452+12.5%
New Mexico$381$4,5373287+12.3%
Nevada$380$4,138861,020+12.2%
Rhode Island$378$2,6442978+11.6%
Tennessee$374$4,8182581,495+10.2%
Washington$371$2,8062041,311+9.6%
New Hampshire$355$4,71362190+4.7%
Mississippi$349$3,2551001,479+2.9%
Minnesota$346$3,605204837+2.1%
Oregon$343$3,202101318+1.3%
Georgia$343$4,5393051,952+1.2%
New Jersey$342$8,1422941,051+0.9%
Michigan$339$3,6442511,411+0.0%
Virginia$337$4,8301931,295-0.7%
North Carolina$335$3,1703432,300-1.0%
Illinois$332$4,4613351,773-2.0%
Ohio$321$3,1693262,008-5.3%
Pennsylvania$318$2,5603011,160-6.2%
Missouri$317$5,0282051,082-6.5%
Alabama$313$2,3672452,119-7.6%
Montana$310$2,14859306-8.7%
Iowa$306$2,906102650-9.6%
Massachusetts$303$4,161191968-10.5%
Utah$301$3,738124977-11.1%
North Dakota$300$2,47639336-11.4%
South Carolina$298$3,3791771,571-12.1%
Indiana$298$3,752214872-12.1%
Arkansas$296$2,653105862-12.6%
Texas$296$3,9166563,682-12.8%
Wyoming$289$2,93138225-14.7%
West Virginia$278$2,39540123-18.0%
Puerto Rico$262$8181547-22.8%
Oklahoma$262$1,5891791,469-22.8%
Louisiana$259$3,0301761,086-23.6%
Nebraska$250$2,34691630-26.2%
Wisconsin$247$5,620190653-27.0%
Idaho$245$2,12295508-27.6%
Kentucky$237$2,51497432-30.0%
Kansas$237$2,852110582-30.2%
Hawaii$223$1,77815113-34.3%
Maine$207$1,35247139-38.8%
Vermont$189$1,8141366-44.3%
South Dakota$157$1,43282596-53.8%

⚠️ 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