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Nonsurgical Care of Thigh Bone Break at Knee

West Virginia 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?

$1,127

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $1,127 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $603 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$457 to $575
Facility feeThe hospital or surgery center$603$501 to $603

How much rates vary

Facilitymedian $603 · 10th to 90th $490 to $1,660Professionalmedian $525 · 10th to 90th $437 to $1,096
$500$1K$2K$5Kfacility $603professional $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
$489.78
Median
$602.56
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$1,096.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$645.65
CareSource
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$724.44
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$812.83

Where West Virginia 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

West Virginia· 47th of 49

$1,127

$525 physician + $603 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.