10140

Drainage of blood or fluid accumulation

Medicare pricing data for 18,113 providers across 52 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Drainage of blood or fluid accumulation (HCPCS code 10140) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $142.91, but hospitals typically charge $389.22 — a 2.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$28.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $142.91, your out-of-pocket cost would be approximately $28.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$142.91
Average Hospital Charge
$389.22
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$389.22
Medicare Allowed$142.91
Medicare Payment$110.04

Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $110.04 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$169$4899132,032+17.9%
Maryland$167$3103891,508+17.1%
California$165$3871,6386,645+15.6%
District of Columbia$160$33347178+12.2%
New Jersey$158$5076641,599+10.5%
Massachusetts$153$3754091,050+7.1%
Pennsylvania$152$2889613,214+6.2%
Michigan$150$2786662,036+4.6%
Nevada$148$331122665+3.5%
Florida$147$3401,6945,841+3.1%
Illinois$146$3416141,795+2.2%
Alaska$141$1,1033847-1.6%
Puerto Rico$140$189612-2.4%
Virginia$137$357519962-4.5%
Delaware$133$5236796-7.2%
New Mexico$133$261108355-7.2%
Wyoming$132$5533234-7.9%
Connecticut$130$492187309-8.9%
Georgia$128$478443728-10.5%
Texas$128$4511,1422,246-10.7%
Missouri$126$368384735-11.9%
Colorado$125$629333475-12.2%
Ohio$125$3417121,236-12.3%
Washington$124$453362493-13.0%
Alabama$124$284255621-13.0%
North Carolina$124$432528850-13.4%
Oregon$123$439183226-13.9%
Arizona$123$411411910-13.9%
South Carolina$123$393351567-14.0%
Hawaii$122$23870272-14.6%
Kentucky$121$348300531-15.1%
Utah$121$370146208-15.6%
New Hampshire$120$58482121-16.2%
Iowa$120$433191352-16.3%
Vermont$119$6363139-16.6%
Indiana$118$549382565-17.4%
Louisiana$117$554275389-17.8%
Oklahoma$117$368205303-18.4%
Arkansas$115$372205358-19.6%
West Virginia$114$35999157-20.3%
Minnesota$113$542228359-20.6%
Nebraska$113$417148214-20.7%
Kansas$113$524204310-20.7%
Montana$112$33383121-21.5%
Tennessee$111$399419682-22.3%
Idaho$110$330116190-23.0%
North Dakota$109$86579113-24.1%
Wisconsin$109$712259332-24.1%
Mississippi$107$543212377-25.1%
South Dakota$106$3387392-26.2%
Maine$105$6086987-26.6%
Rhode Island$98$4454481-31.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber