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Repair of an Upper Thigh Bone Break With a Rod

West Virginia 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?

$1,202

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $1,202 to $1,950.

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 $1,202 · 10th to 90th $1,202 to $2,630
$50$200$1K$5K$20Kfacility $1,202

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
$1,202.26
Typical High
$2,630.27
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,584.89
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
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$20,417.38

Where West Virginia 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.

West Virginia· 48th of 50

$1,202

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.