Application Of Nonmoveable Forearm To Hand Splint
What Medicare pays for 29125, what providers bill, and how the price varies across 53 states, drawn from CMS 2023 claims data.
29125 · the short answer
For application of nonmoveable forearm to hand splint, Medicare pays about $38.77 while providers bill $236.48 on average, a 6.1× markup, an above-median markup. State-level Medicare rates range 94% from lowest to highest.
- Medicare pays
- $38.77
- Providers bill
- $236.48
- Markup
- 6.1×
- Markup percentile
- 63th
Medicare amounts are CMS-published; markup = average submitted charge ÷ average Medicare payment.
Price Range Across States
What You Might Pay
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
How we estimate these prices
These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Musculoskeletal Surgery procedures average 2.24x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.
Where this markup sits nationally
Markup (billed ÷ Medicare) across 8,901 procedures with a meaningful Medicare rate
6 Among the most affordable more affordable than 63% of 8,901 procedures
Each bar is a band; taller bars hold more procedures. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Physician & Other Practitioners · 2023
Prices by State
| State | Medicare Payment | Billed Charge |
|---|---|---|
| Guam | $52.56 | $130.33 |
| Alaska | $48.71 | $342.85 |
| New York | $45.81 | $322.27 |
| Maryland | $43.84 | $186.83 |
| Hawaii | $43.78 | $190.34 |
| California | $42.80 | $239.69 |
| New Jersey | $41.37 | $305.81 |
| Connecticut | $41.32 | $249.78 |
| Puerto Rico | $40.89 | $146.25 |
| Florida | $40.79 | $247.98 |
| Minnesota | $40.22 | $254.74 |
| Georgia | $39.56 | $265.16 |
| Massachusetts | $39.49 | $202.65 |
| Rhode Island | $39.45 | $243.46 |
| Washington | $39.41 | $206.51 |
| Colorado | $39.16 | $206.35 |
| Nevada | $38.69 | $285.36 |
| New Hampshire | $38.42 | $217.17 |
| Arizona | $38.20 | $209.52 |
| Michigan | $37.72 | $197.61 |
| Virginia | $37.41 | $210.72 |
| Texas | $37.25 | $234.70 |
| Illinois | $37.08 | $258.79 |
| North Carolina | $36.36 | $209.56 |
| Utah | $36.34 | $192.27 |
| Oregon | $36.15 | $209.67 |
| Pennsylvania | $36.15 | $202.36 |
| South Carolina | $36.09 | $204.42 |
| Tennessee | $36.07 | $233.24 |
| Kansas | $35.90 | $194.59 |
| Oklahoma | $35.58 | $178.40 |
| Wisconsin | $35.56 | $380.35 |
| Wyoming | $35.54 | $179.18 |
| New Mexico | $35.48 | $173.58 |
| District of Columbia | $35.48 | $204.81 |
| Nebraska | $35.27 | $213.51 |
| Maine | $35.10 | $175.04 |
| Arkansas | $35.08 | $185.41 |
| Missouri | $34.73 | $221.08 |
| Mississippi | $33.84 | $223.42 |
| Montana | $33.77 | $154.52 |
| Louisiana | $33.57 | $284.03 |
| Iowa | $33.46 | $216.93 |
| Alabama | $33.37 | $173.45 |
| Kentucky | $33.03 | $224.17 |
| Indiana | $32.78 | $211.57 |
| Ohio | $32.53 | $212.06 |
| Idaho | $32.40 | $181.86 |
| South Dakota | $31.15 | $175.21 |
| West Virginia | $29.78 | $189.47 |
| Delaware | $29.50 | $188.67 |
| North Dakota | $29.43 | $227.90 |
| Vermont | $27.05 | $166.08 |
What the Data Says About Application Of Nonmoveable Forearm To Hand Splint
Across 53 states with reporting providers, CPT code 29125 (Application Of Nonmoveable Forearm To Hand Splint) shows a national average Medicare payment of $38.77 against an average billed charge of $236.48. That gap, a 6.1x markup, or 510% above the Medicare allowed amount, is roughly in line with what most procedures show, chargemaster pricing that no major payer pays in full but that still anchors negotiations.
Musculoskeletal Surgery procedures like this one saw 66.1K services billed to Medicare in 2023 by 31.1K distinct providers, serving 61.1K unique beneficiaries. State-level variation is significant: Vermont reports the lowest average payment at $27.05, while Guam reports the highest at $52.56. A 94% spread this wide is typically a GPCI story: practice-expense and malpractice-premium components of the fee formula diverge sharply by locality even though the procedure code never changes.
Applying RAND 2024 commercial-to-Medicare ratios specific to the Musculoskeletal Surgery category (2.24x), the estimated commercial insurance price lands near $114.87, with self-pay cash discounts commonly bringing the figure closer to $103.49. Within Musculoskeletal Surgery, Application Of Nonmoveable Forearm To Hand Splint ranks #1388 of 1411 tracked procedures by national average Medicare payment.
What to do with this
If you may have application of nonmoveable forearm to hand splint done, these steps turn the numbers above into a real-world cost estimate.
- Request a Good Faith Estimate from your provider at least 3 business days before a scheduled procedure, under the No Surprises Act it is an enforceable written price.
- Compare application of nonmoveable forearm to hand splint costs in your state, Medicare rates vary by locality. Browse states
- Check a hospital’s published cash price, which is often far below the billed charge. Price transparency
- Understand why billed charges run several times the Medicare rate before you negotiate. Read the guide
Figures here are averages and estimates, not a quote. Confirm coverage and out-of-pocket costs with your insurer and provider.
Frequently Asked Questions
How much does Application Of Nonmoveable Forearm To Hand Splint cost?
Medicare's national average payment for Application Of Nonmoveable Forearm To Hand Splint (CPT 29125) is $38.77, with providers billing $236.48 on average; state rates run from $27.05 to $52.56, a meaningful but not extreme spread.
Why do providers charge more than Medicare pays?
Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.
How much does Application Of Nonmoveable Forearm To Hand Splint cost with insurance?
With commercial insurance, application of nonmoveable forearm to hand splint costs an estimated $114.87 on average (range: $80.41-$160.81), a moderate premium over Medicare's $38.77. Without insurance, the estimated cash price is $103.49.
Which state has the lowest cost for Application Of Nonmoveable Forearm To Hand Splint?
Vermont has the lowest average Medicare payment for Application Of Nonmoveable Forearm To Hand Splint at $27.05, while Guam has the highest at $52.56 - a meaningful $25.51 spread.
How many providers perform Application Of Nonmoveable Forearm To Hand Splint?
Application Of Nonmoveable Forearm To Hand Splint is a widely-performed procedure: 31.1K providers billed Medicare for it in 2023 across 53 states, together handling 66.1K services for 61.1K beneficiaries.
What is the billed-to-Medicare markup for Application Of Nonmoveable Forearm To Hand Splint?
Providers bill 6.1x what Medicare pays for Application Of Nonmoveable Forearm To Hand Splint - an above-median markup at 510% above the Medicare rate.
Related Guides
Tips to reduce out-of-pocket costs
Your right to upfront pricing
How Medicare payments work
Decode charges and codes
Why bills exceed actual costs
Geographic pricing factors
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology - how this data is sourced, computed, and verified.
Related
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.