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Repair of an Upper Thigh Bone Break With a Rod

New York 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?

$5,248

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $3,090 to $8,318.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,248 · 10th to 90th $1,698 to $12,023
$1K$2K$5K$10Kfacility $5,248

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
$1,412.54
Median
$4,897.79
Typical High
$11,748.98
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,995.26
Typical High
$4,365.16
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Excellus BCBS
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,495.41
Typical High
$13,803.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$6,606.93
Univera
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$794.33
Median
$794.33
Typical High
$1,148.15

Where New York 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.

New York· 19th of 50

$5,248

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.