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Repair of an Upper Thigh Bone Break With a Rod

Pennsylvania 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?

$6,166

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6,166 for this service. Most negotiated rates run $3,981 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,166 · 10th to 90th $1,288 to $10,715
$1K$2K$5K$10K$20K$50Kfacility $6,166

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
$1,258.93
Median
$6,165.95
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
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
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$15,488.17
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$5,754.40
Typical High
$10,715.19
Martin's Point
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$21,379.62

Where Pennsylvania 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.

Pennsylvania· 13th of 50

$6,166

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.