Q4049

Finger splint, static

Medicare pricing data for 4,053 providers across 45 states

🤖AI Overview

This procedure has a 9.1x markup — hospitals charge $22.29 but Medicare allows only $2.45. Uninsured patients may face bills 9.1 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Finger splint, static (HCPCS code Q4049) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2.45, but hospitals typically charge $22.29 — a 9.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.49

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2.45, your out-of-pocket cost would be approximately $0.49. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$2.45
Average Hospital Charge
$22.29
Markup Ratio
9.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$22.29
Medicare Allowed$2.45
Medicare Payment$1.80

Hospitals charge 9.1x more than what Medicare allows for this procedure. Medicare actually pays $1.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Massachusetts$2$1838128+0.8%
Minnesota$2$131622+0.8%
Wyoming$2$121934+0.8%
Delaware$2$141248+0.4%
District of Columbia$2$13833+0.4%
Illinois$2$38124296+0.4%
Iowa$2$63440+0.4%
Kansas$2$113787+0.4%
Maryland$2$25331915+0.4%
Mississippi$2$214572+0.4%
Nebraska$2$211118+0.4%
New Hampshire$2$26911+0.4%
New Mexico$2$152462+0.4%
Pennsylvania$2$22267607+0.4%
South Dakota$2$61240+0.4%
Texas$2$15241595+0.4%
Utah$2$156492+0.4%
Virginia$2$25291779+0.4%
West Virginia$2$222325+0.4%
Wisconsin$2$192233+0.4%
Alabama$2$213764+0.4%
Arkansas$2$182028+0.4%
Connecticut$2$132541+0.4%
Florida$2$302348950.0%
Indiana$2$12972200.0%
Missouri$2$29831990.0%
New York$2$33741890.0%
North Carolina$2$161232200.0%
California$2$235211,3720.0%
Hawaii$2$1528100-0.4%
Kentucky$2$242762-0.4%
Michigan$2$8116386-0.4%
New Jersey$2$33118307-0.4%
Ohio$2$9109142-0.4%
South Carolina$2$2161109-0.4%
Arizona$2$1587239-0.4%
Nevada$2$1434171-0.8%
Oklahoma$2$4072129-0.8%
Tennessee$2$13121195-1.2%
Colorado$2$125266-1.2%
Louisiana$2$14106178-1.6%
Georgia$2$4788190-2.0%
Idaho$2$202336-4.5%
Oregon$2$94352-5.7%
Washington$2$1698163-6.5%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber