go back

Nonsurgical Care of Thigh Bone Break at Knee

Ohio rates for HCPCS 27501

Treatment without surgery of a break at the lower end of the thigh bone, just above or running into the knuckle-shaped end that forms the knee joint. The leg is supported in a cast, splint or brace and the position is followed with X-rays while the bone heals.

Rates data updated July 2026.

How much does Nonsurgical Care of Thigh Bone Break at Knee cost?

$2,980

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $2,980 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $2,455 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$479 to $692
Facility feeThe hospital or surgery center$2,455$1,318 to $4,365

How much rates vary

Facilitymedian $2,455 · 10th to 90th $589 to $10,233Professionalmedian $525 · 10th to 90th $427 to $1,047
$50$200$1K$5Kfacility $2,455professional $525

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
$549.54
Median
$2,951.21
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$512.86
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,995.26
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$912.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$1,000.00
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$741.31
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$891.25

Where Ohio sits

The same service costs 9.9 times more in New Jersey than in Maryland. 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.

Physician feeFacility fee

Ohio· 19th of 49

$2,980

$525 physician + $2,455 facility

NJ $6,413MD $648

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.