Q4010

Cast supplies, short arm cast, adult (11 years +), fiberglass

Medicare pricing data for 9,603 providers across 51 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

Cast supplies, short arm cast, adult (11 years +), fiberglass (HCPCS code Q4010) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.41, but hospitals typically charge $60.98 — a 2.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.48

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $22.41, your out-of-pocket cost would be approximately $4.48. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$22.41
Average Hospital Charge
$60.98
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$60.98
Medicare Allowed$22.41
Medicare Payment$17.46

Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $17.46 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$23$3613207+1.6%
District of Columbia$23$46346+1.6%
Montana$23$4752251+1.6%
Kansas$23$38129637+1.3%
North Carolina$23$574741,914+1.3%
Rhode Island$23$8835278+1.2%
Alaska$23$3851218+1.2%
Ohio$23$562701,189+1.2%
Virginia$23$502681,353+1.2%
Massachusetts$23$811701,497+1.1%
California$23$708416,434+1.1%
Maryland$23$612131,241+1.1%
South Carolina$23$46151829+1.1%
Texas$23$576073,471+0.9%
Maine$23$6528125+0.9%
Louisiana$23$65123547+0.8%
Oklahoma$23$74159976+0.8%
Florida$23$636574,094+0.7%
Minnesota$23$58246726+0.6%
Nebraska$23$9459464+0.4%
Connecticut$23$57144766+0.4%
New Jersey$23$77184900+0.4%
Tennessee$23$603351,635+0.4%
South Dakota$22$5330132+0.3%
Alabama$22$41147697+0.2%
Illinois$22$793652,235+0.0%
Kentucky$22$53170722+0.0%
New Hampshire$22$4495533+0.0%
Georgia$22$1013291,748-0.2%
Arizona$22$642061,251-0.2%
Mississippi$22$58131797-0.3%
Idaho$22$4752349-0.4%
Oregon$22$52132648-0.4%
West Virginia$22$5031190-0.4%
New York$22$504332,258-0.5%
Colorado$22$751961,219-0.5%
Iowa$22$35140891-0.6%
Nevada$22$4792518-0.7%
North Dakota$22$451637-0.9%
Michigan$22$322632,376-1.0%
Arkansas$22$4762664-1.0%
Wisconsin$22$75190626-1.2%
Indiana$22$49259956-1.4%
Washington$22$682851,513-1.6%
Hawaii$22$6130115-2.2%
Pennsylvania$22$443301,474-2.3%
Wyoming$22$6536138-2.6%
Missouri$22$99155757-2.7%
Puerto Rico$22$471937-3.3%
Utah$19$42137493-14.9%
New Mexico$19$3451261-15.3%

⚠️ 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