Cost analysis for CPT 27245 — Treatment of broken neck of thigh bone with bone implant
Average Medicare Payment
$823.82
2023 data
Total Payments (2023)
$34.7M
Services (2023)
41.5K
Price Change (2014–2023)
-2.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $841.92 | $37.4M | 44.2K | — |
| 2015 | $845.05 | $39.2M | 46.1K | +0.4% |
| 2016 | $839.66 | $40.0M | 47.3K | -0.6% |
| 2017 | $839.33 | $40.0M | 47.5K | -0.0% |
| 2018 | $839.14 | $41.5M | 49.1K | -0.0% |
| 2019 | $852.20 | $43.4M | 50.3K | +1.6% |
| 2020 | $855.67 | $40.4M | 46.8K | +0.4% |
| 2021 | $843.71 | $37.4M | 43.6K | -1.4% |
| 2022 | $842.01 | $36.4M | 42.6K | -0.2% |
| 2023 | $823.82 | $34.7M | 41.5K | -2.2% |
The most expensive state pays 1.7x more than the cheapest for this procedure. NY averages $1017.35 vs SD at $587.77.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $1017.35 | $2.0M | 2.0K | 97 |
| MD | $989.23 | $862.6K | 872 | 45 |
| NJ | $973.14 | $978.0K | 1.0K | 58 |
| MA | $951.52 | $884.9K | 930 | 47 |
| NV | $932.32 | $422.3K | 453 | 22 |
| CT | $922.91 | $234.4K | 254 | 18 |
| MI | $916.85 | $805.0K | 878 | 50 |
| VA | $909.39 | $1.1M | 1.2K | 67 |
| IL | $906.35 | $1.4M | 1.5K | 84 |
| PA | $898.24 | $1.4M | 1.5K | 86 |
| CA | $895.30 | $3.1M | 3.4K | 191 |
| CO | $892.17 | $301.6K | 338 | 22 |
| WV | $865.67 | $205.2K | 237 | 14 |
| WA | $865.17 | $522.6K | 604 | 37 |
| NC | $849.32 | $930.0K | 1.1K | 60 |
| NH | $848.96 | $197.8K | 233 | 12 |
| NM | $844.03 | $244.8K | 290 | 18 |
| OH | $839.31 | $1.1M | 1.3K | 73 |
| KY | $834.52 | $606.7K | 727 | 44 |
| TN | $833.96 | $753.9K | 904 | 52 |
| TX | $823.17 | $2.8M | 3.4K | 183 |
| MS | $819.60 | $450.8K | 550 | 31 |
| MO | $813.72 | $803.1K | 987 | 54 |
| SC | $809.28 | $727.5K | 899 | 46 |
| GA | $804.50 | $746.6K | 928 | 53 |
| MN | $803.89 | $475.9K | 592 | 34 |
| AR | $794.94 | $463.4K | 583 | 38 |
| WI | $794.75 | $290.1K | 365 | 24 |
| FL | $792.13 | $4.4M | 5.6K | 286 |
| OK | $789.12 | $610.0K | 773 | 42 |
| OR | $786.22 | $186.3K | 237 | 15 |
| AZ | $744.91 | $1.0M | 1.4K | 73 |
| IN | $734.87 | $687.1K | 935 | 59 |
| UT | $731.31 | $144.1K | 197 | 11 |
| ND | $731.06 | $194.5K | 266 | 13 |
| IA | $714.31 | $229.3K | 321 | 18 |
| DE | $712.42 | $253.6K | 356 | 18 |
| LA | $698.77 | $442.3K | 633 | 40 |
| KS | $672.31 | $412.1K | 613 | 31 |
| MT | $668.30 | $100.9K | 151 | 9 |
| ID | $662.05 | $117.8K | 178 | 12 |
| NE | $652.07 | $141.5K | 217 | 15 |
| AL | $625.59 | $401.0K | 641 | 40 |
| ME | $616.68 | $104.8K | 170 | 12 |
| SD | $587.77 | $261.6K | 445 | 20 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Michael Hawks | Orthopedic Surgery | FL | $98.1K | 97 | $1011.33 |
| Rajeev Garapati | Orthopedic Surgery | IL | $89.8K | 82 | $1094.86 |
| Andrew Brown | Orthopedic Surgery | VA | $73.2K | 76 | $963.11 |
| Michael Oboyle | Orthopedic Surgery | SC | $68.3K | 68 | $1005.09 |
| Nicholas Divaris | Orthopedic Surgery | NY | $64.4K | 52 | $1237.67 |
| Carlos Sagebien | Orthopedic Surgery | NJ | $63.4K | 59 | $1075.11 |
| Lawrence Kelly | Orthopedic Surgery | AZ | $61.9K | 65 | $952.97 |
| Robert O'connor | Orthopedic Surgery | FL | $61.9K | 64 | $967.30 |
| Jeffrey Engorn | Orthopedic Surgery | FL | $61.5K | 58 | $1059.61 |
| Ryan Durfee | Orthopedic Surgery | FL | $60.7K | 60 | $1012.41 |
| Barnaby Dedmond | Orthopedic Surgery | SC | $59.9K | 64 | $935.92 |
| Matthew Negem | Orthopedic Surgery | TX | $59.9K | 64 | $935.19 |
| Baruch Toledano | Orthopedic Surgery | NY | $58.3K | 48 | $1214.88 |
| Steven Haman | Orthopedic Surgery | OH | $55.8K | 59 | $945.93 |
| Arif Ali | Orthopedic Surgery | IL | $55.3K | 50 | $1106.51 |
| Stephen Bell | Orthopedic Surgery | MD | $52.9K | 50 | $1058.96 |
| Jonathan Anthony | Orthopedic Surgery | FL | $52.1K | 50 | $1041.40 |
| Meelan Patel | Orthopedic Surgery | NY | $52.0K | 42 | $1237.33 |
| Matthew Brewster | Orthopedic Surgery | MI | $51.9K | 54 | $960.22 |
| Cyrus Abbaschian | Orthopedic Surgery | TX | $51.1K | 55 | $929.50 |
Based on the data, CPT 27245 shows a 1.7x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 2.1% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.