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Repair of an Upper Thigh Bone Break With a Rod

Illinois rates for HCPCS 27245

Surgery for a break in the upper thigh bone near the hip, fixed with a metal rod running down the hollow center of the bone. Screws passed through the rod hold the broken pieces in position while the bone heals, and a wire loop is sometimes added around the shaft. The rod shares the load along the length of the bone, which often allows earlier weight-bearing.

Rates data updated July 2026.

How much does Repair of an Upper Thigh Bone Break With a Rod cost?

$2,570

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $2,570 for this service. Most negotiated rates run $1,738 to $5,888.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,148 to $11,220Professionalmedian $2,089 · 10th to 90th $1,318 to $6,607
$200$500$1K$2K$5K$10K$20Kfacility $3,236professional $2,089

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,754.23
Typical High
$9,772.37
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,737.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$10,964.78
Typical High
$27,542.29
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,089.30
Typical High
$6,606.93
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$6,165.95
Typical High
$12,302.69

Where Illinois sits

The same service costs 81.3 times more in Wyoming than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 37th of 50

$2,570

WY $14,791DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.