97012

Application of mechanical traction

Medicare pricing data for 18,415 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 mechanical traction (HCPCS code 97012) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.18, but hospitals typically charge $41.86 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.24

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.18, your out-of-pocket cost would be approximately $2.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$11.18
Average Hospital Charge
$41.86
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$41.86
Medicare Allowed$11.18
Medicare Payment$8.62

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $8.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$15$6667982+31.7%
District of Columbia$12$3419321+9.7%
New Jersey$12$7063316,396+9.6%
California$12$371,68059,429+8.1%
Maryland$12$4366917,146+6.4%
Connecticut$12$412573,841+6.1%
North Dakota$12$56831,426+5.9%
Puerto Rico$12$145216+5.5%
Massachusetts$12$462242,024+5.0%
Montana$12$3654446+4.0%
Rhode Island$12$611032,117+3.7%
New York$12$3759612,565+3.4%
Washington$11$343934,279+2.8%
Hawaii$11$2886641+2.2%
Illinois$11$5467410,585+1.3%
Vermont$11$3419149+1.3%
Pennsylvania$11$3976613,111+1.2%
Delaware$11$531692,662+0.7%
New Hampshire$11$4180847+0.7%
Minnesota$11$513963,525+0.4%
Florida$11$4383526,525+0.3%
Wyoming$11$311101,472-0.1%
Michigan$11$5567710,591-0.4%
Wisconsin$11$692772,057-0.6%
Virginia$11$4965715,338-0.8%
Oregon$11$341421,870-1.2%
Maine$11$4162475-1.5%
Georgia$11$4062115,373-1.8%
Louisiana$11$3540611,597-2.0%
Ohio$11$4363614,690-2.0%
South Dakota$11$46892,987-2.0%
Arizona$11$3853516,535-2.0%
Idaho$11$351272,229-2.7%
South Carolina$11$3841112,392-2.9%
North Carolina$11$3952712,096-3.0%
Indiana$11$543968,457-3.0%
Kansas$11$372196,577-3.1%
Missouri$11$452108,818-3.2%
Utah$11$312155,384-3.3%
New Mexico$11$44851,535-3.8%
Mississippi$11$342937,679-4.2%
Colorado$11$353618,158-4.4%
Nebraska$11$362174,464-4.6%
Tennessee$11$3861710,402-4.6%
Iowa$11$411671,969-4.7%
Kentucky$11$383848,355-4.9%
West Virginia$11$401755,890-4.9%
Nevada$11$432319,794-5.5%
Oklahoma$11$331443,548-5.5%
Texas$11$3785226,267-5.5%
Alabama$10$404758,290-6.3%
Arkansas$10$3727115,734-6.8%

⚠️ 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