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Repair of an Upper Thigh Bone Break With a Rod

South Dakota 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?

$2,089

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,089 for this service. Most negotiated rates run $1,660 to $2,399.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,445 to $4,898Professionalmedian $2,089 · 10th to 90th $1,549 to $2,630
$2K$5K$10Kfacility $2,239professional $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. Small sample; interpret with caution. 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
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,754.23
Typical High
$2,754.23
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$2,398.83
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08

Where South Dakota 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.

South Dakota· 43rd of 50

$2,089

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.