20527

Injection of medication into palm

Medicare pricing data for 1,522 providers across 49 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Injection of medication into palm (HCPCS code 20527) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $79.49, but hospitals typically charge $302.86 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $79.49, your out-of-pocket cost would be approximately $15.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$79.49
Average Hospital Charge
$302.86
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$302.86
Medicare Allowed$79.49
Medicare Payment$58.89

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $58.89 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$99$544822+24.2%
New York$93$46493513+16.7%
Maryland$88$21136188+10.9%
Rhode Island$88$305618+10.4%
Delaware$87$272545+9.0%
California$86$296131797+8.7%
New Jersey$86$39256299+8.6%
Connecticut$86$43635152+7.8%
Colorado$85$29230106+6.3%
Illinois$84$41469357+5.1%
Massachusetts$83$36735315+4.2%
Florida$82$324110735+3.5%
Nevada$81$3771897+2.4%
Montana$81$26110137+1.8%
New Hampshire$80$2991179+1.1%
Washington$80$27053245+0.4%
Michigan$80$22634132+0.1%
Georgia$80$32540202+0.0%
Arizona$79$24822190-1.1%
Pennsylvania$77$24875353-3.1%
Nebraska$77$313744-3.6%
South Carolina$76$22638189-4.4%
Virginia$76$25147266-4.4%
Texas$76$26165324-4.8%
Minnesota$75$32237130-5.4%
Iowa$75$2461147-5.8%
Kansas$75$2791639-6.2%
North Carolina$74$21658341-6.3%
Ohio$74$22566268-6.5%
Missouri$73$28332131-8.0%
Oklahoma$73$1831459-8.0%
Louisiana$73$3141273-8.6%
Indiana$72$22130159-9.2%
Wisconsin$72$58029117-9.3%
Utah$72$1941548-9.5%
Alabama$71$1741666-10.3%
New Mexico$71$266624-10.5%
Kentucky$71$22626108-10.9%
Tennessee$71$25734163-11.3%
Maine$70$1811243-12.0%
West Virginia$70$204617-12.5%
Mississippi$69$325993-12.8%
Arkansas$69$1881061-13.5%
District of Columbia$68$193315-14.8%
Oregon$68$26120295-15.1%
South Dakota$65$3619104-17.8%
Idaho$62$190322-21.7%
North Dakota$59$145420-25.3%
Vermont$57$111337-28.1%

⚠️ 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