Musculoskeletal Surgery · 29450

Application Of Leg Cast And Manipulation Of Foot To Treat Deformity

What Medicare pays for 29450, what providers bill, and how the price varies across 2 states, drawn from CMS 2023 claims data.

29450 · the short answer

For application of leg cast and manipulation of foot to treat deformity, Medicare pays about $128.22 while providers bill $423.23 on average, a 3.3× markup, one of the smaller markups in the catalog. State-level Medicare rates range 11% from lowest to highest.

Medicare pays
$128.22
Providers bill
$423.23
Markup
3.3×
Markup percentile
18th

Medicare amounts are CMS-published; markup = average submitted charge ÷ average Medicare payment.

Medicare Payment (avg)
$128.22
What Medicare actually pays
Billed Charge (avg)
$423.23
What providers submit
Markup
3.3x
230% above Medicare rate
112
Total Services
90
Beneficiaries
57
Providers
2
States with Data

Price Range Across States

Lowest State Avg
$158.07
North Carolina
Highest State Avg
$175.19
New Jersey

What You Might Pay

Est. Commercial Insurance
$372.04
Range: $260.43 – $520.85
Est. Cash / Self-Pay
$240.96
Typical self-pay discount

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

3 more affordable than 18% of 8,901 procedures

1–2: 466 procedures (5%). Below this entry. 2–3: 681 procedures (8%). Below this entry. 3–4: 845 procedures (9%). This entry sits in this band. 4–5: 1,308 procedures (15%). Above this entry. 5–6: 1,725 procedures (19%). Above this entry. 6–7: 1,217 procedures (14%). Above this entry. 7–8: 801 procedures (9%). Above this entry. 8–9: 541 procedures (6%). Above this entry. 9–10: 351 procedures (4%). Above this entry. 10–11: 246 procedures (3%). Above this entry. 11–12: 151 procedures (2%). Above this entry. 12–13: 175 procedures (2%). Above this entry. 13–14: 140 procedures (2%). Above this entry. 14–15: 40 procedures (0%). Above this entry. 15–16: 39 procedures (0%). Above this entry. 16–17: 26 procedures (0%). Above this entry. 17–18: 25 procedures (0%). Above this entry. 18–19: 21 procedures (0%). Above this entry. 19–20: 12 procedures (0%). Above this entry. 20–21: 16 procedures (0%). Above this entry. 21–22: 13 procedures (0%). Above this entry. 22–23: 8 procedures (0%). Above this entry. 23–24: 9 procedures (0%). Above this entry. 24–25: 4 procedures (0%). Above this entry. 25–26: 3 procedures (0%). Above this entry. 26–27: 3 procedures (0%). Above this entry. 27–28: 4 procedures (0%). Above this entry. 28–29: 3 procedures (0%). Above this entry. 29–30: 2 procedures (0%). Above this entry. 30–31: 26 procedures (0%). Above this entry. this procedure 1 31 × markup, bucketed by value

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
New Jersey $175.19 $481.04
North Carolina $158.07 $292.84

What the Data Says About Application Of Leg Cast And Manipulation Of Foot To Treat Deformity

Across 2 states with reporting providers, CPT code 29450 (Application Of Leg Cast And Manipulation Of Foot To Treat Deformity) shows a national average Medicare payment of $128.22 against an average billed charge of $423.23. That gap, a 3.3x markup, or 230% above the Medicare allowed amount, is among the tightest billed-to-paid spreads we track, this code's chargemaster rate tracks unusually close to the Medicare benchmark.

Musculoskeletal Surgery procedures like this one saw 112 services billed to Medicare in 2023 by 57 distinct providers, serving 90 unique beneficiaries. State-level variation is significant: North Carolina reports the lowest average payment at $158.07, while New Jersey reports the highest at $175.19. At just 11%, this procedure prices remarkably consistently nationwide, GPCI adjustments barely move the needle for this particular code.

Applying RAND 2024 commercial-to-Medicare ratios specific to the Musculoskeletal Surgery category (2.24x), the estimated commercial insurance price lands near $372.04, with self-pay cash discounts commonly bringing the figure closer to $240.96. Within Musculoskeletal Surgery, Application Of Leg Cast And Manipulation Of Foot To Treat Deformity ranks #1299 of 1411 tracked procedures by national average Medicare payment.

What to do with this

If you may have application of leg cast and manipulation of foot to treat deformity 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 leg cast and manipulation of foot to treat deformity 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 Leg Cast And Manipulation Of Foot To Treat Deformity cost?

Application Of Leg Cast And Manipulation Of Foot To Treat Deformity (CPT 29450) is priced fairly consistently nationwide: Medicare pays $128.22 on average, and the $158.07-$175.19 state range stays relatively tight. Providers typically bill $423.23.

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 Leg Cast And Manipulation Of Foot To Treat Deformity cost with insurance?

With commercial insurance, application of leg cast and manipulation of foot to treat deformity costs an estimated $372.04 on average (range: $260.43-$520.85), a moderate premium over Medicare's $128.22. Without insurance, the estimated cash price is $240.96.

Which state has the lowest cost for Application Of Leg Cast And Manipulation Of Foot To Treat Deformity?

North Carolina and New Jersey bookend the range for Application Of Leg Cast And Manipulation Of Foot To Treat Deformity, at $158.07 and $175.19 respectively - a relatively tight $17.11 spread nationwide.

How many providers perform Application Of Leg Cast And Manipulation Of Foot To Treat Deformity?

Application Of Leg Cast And Manipulation Of Foot To Treat Deformity is comparatively uncommon: only 57 providers nationally billed Medicare for it in 2023, serving 90 beneficiaries via 112 total services.

What is the billed-to-Medicare markup for Application Of Leg Cast And Manipulation Of Foot To Treat Deformity?

Providers bill 3.3x what Medicare pays for Application Of Leg Cast And Manipulation Of Foot To Treat Deformity - one of the smaller markups in the catalog at 230% above the Medicare rate.

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

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.