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Home/Legal & Regulatory and Reimbursement/Do You Know How Much YOU Cost in Your State?
Legal & Regulatory and Reimbursement

Do You Know How Much YOU Cost in Your State?

January 16, 2024 2 min read Premium comments

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Do You Know How Much YOU Cost in Your State?
Source: Pexels and John Guccione
Secondary#healthinsurance#orthopedicsurgeonvisitcost#Sidecarhealth

It’s no surprise that the cost to visit an orthopedic surgeon varies by state. But do you know the average cost for an orthopedic surgeon visit in your state?

Sidecar Health, a health insurance company based in El Segundo, California, appears to have an answer.

On its website it has a list of estimated costs based on “cash prices that providers have historically charged on average for an orthopedic surgeon visit.” This list includes all 50 states and the District of Columbia.

Sidecar Health does note on the list that the estimated costs “will vary depending on where the service is done.” The estimated costs are not inclusive of other services and fees that may accompany a visit to the orthopedic surgeon such as anesthesia, imaging, and other doctor visit fees.

The most expensive state for an orthopedic surgeon visit based on the list is Alaska with an average cash price ranging from $119 to $167. The least expensive state for an orthopedic surgeon visit according to the list is Iowa with an average cash price ranging from $84 to $117.

Below is the list from the Sidecar Health website of the average cash price of an orthopedic surgeon visit by state.

Alabama $88 – $123
Alaska $119 – $167
Arizona $99 – $140
Arkansas $87 – $122
California $109 – $153
Colorado $96 – $135
Connecticut $105 – $147
Delaware $102 – $143
D.C $101 – $142
Florida $96 – $135
Georgia $90 – $127
Hawaii $91 – $128
Idaho $89 – $125
Illinois $101 – $142
Indiana $92 – $129
Iowa $84 – $117
Kansas $87 – $122
Kentucky $89 – $124
Louisiana $98 – $138
Maine $89 – $125
Maryland $105 – $147
Massachusetts $108 – $151
Michigan $99 – $139
Minnesota $112 – $157
Mississippi $89 – $125
Missouri $88 – $124
Montana $92 – $129
Nebraska $90 – $126
Nevada $95 – $133
New Hampshire $95 – $134
New Jersey $115 – $162
New Mexico $88 – $123
New York $108 – $152
North Carolina $87 – $122
North Dakota $97 – $136
Ohio $90 – $127
Oklahoma $97 – $136
Oregon $99 – $139
Pennsylvania $102 – $143
Rhode Island $109 – $153
South Carolina $93 – $130
South Dakota $86 – $121
Tennessee $87 – $122
Texas $94 – $132
Utah $98 – $138
Vermont $96 – $135
Virginia $94 – $132
Washington $105 – $147
West Virginia $94 – $132
Wisconsin $99 – $139
Wyoming $96 – $135

Courtesy of  sidecarhealth.com

React:

Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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