Iowa · 27680

Release Of Leg And/or Ankle Tendon in Iowa

Iowa Medicare Avg
$180.76
35% below national avg
National Medicare Avg
$277.32
All states combined
Billed Charge (IA)
$1,909.57
What providers submit
Est. Commercial (IA)
$465.08
National avg: $781.01
Est. Cash / Self-Pay (IA)
$695.28
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

14
Services in IA
6
Providers
N/A
Min Payment
N/A
Max Payment

Iowa Pricing in Context

In Iowa, CPT code 27680 (Release Of Leg And/or Ankle Tendon) carries an average Medicare payment of $180.76 — 35% below the national benchmark of $277.32. 6 providers across the state submitted claims for this procedure in 2023, performing 14 total services. Individual payments in IA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Iowa is $1,909.57, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Iowa sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Musculoskeletal Surgery procedures, the estimated commercial insurance price in Iowa lands near $465.08, with self-pay cash prices typically around $695.28. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Release Of Leg And/or Ankle Tendon cost in Iowa?

The average Medicare payment for Release Of Leg And/or Ankle Tendon in Iowa is $180.76, which is 35% below the national average of $277.32. Providers in IA typically bill $1,909.57 for this procedure.

What does Release Of Leg And/or Ankle Tendon cost with insurance in Iowa?

With commercial insurance in Iowa, Release Of Leg And/or Ankle Tendon costs an estimated $465.08. Without insurance, the estimated cash price is $695.28. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Release Of Leg And/or Ankle Tendon in Iowa?

6 providers in Iowa billed Medicare for Release Of Leg And/or Ankle Tendon in 2023, performing 14 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Release Of Leg And/or Ankle Tendon cheaper in Iowa than the national average?

Yes — Release Of Leg And/or Ankle Tendon costs 35% below the national average in Iowa. The state average Medicare payment is $180.76 compared to $277.32 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial