30140

Removal of nasal air passage under lining tissue

Medicare pricing data for 5,453 providers across 50 states

🤖AI Overview

This procedure has a 10.2x markup — hospitals charge $3,235 but Medicare allows only $316.39. Uninsured patients may face bills 10.2 times higher than what insurance negotiates. Prices vary significantly by location — from $133 in South Dakota to $484 in Alaska. Where you get this procedure matters more than almost any other factor. 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

Removal of nasal air passage under lining tissue (HCPCS code 30140) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $316.39, but hospitals typically charge $3,235 — a 10.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$63.28

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $316.39, your out-of-pocket cost would be approximately $63.28. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$316.39
Average Hospital Charge
$3,235
Markup Ratio
10.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,235.21
Medicare Allowed$316.39
Medicare Payment$251.59

Hospitals charge 10.2x more than what Medicare allows for this procedure. Medicare actually pays $251.59 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$484$9,79020158+53.1%
Washington$403$2,326134994+27.4%
Oregon$389$2,68587519+23.0%
Hawaii$385$2,200669+21.6%
New Jersey$383$4,420143708+21.2%
Maryland$373$3,77598671+17.9%
California$371$3,6415383,363+17.2%
Rhode Island$368$3,228632+16.4%
Kansas$357$3,477701,228+12.9%
Colorado$351$4,811133927+10.9%
Utah$351$3,47985530+10.9%
Delaware$349$1,7421179+10.4%
Nebraska$347$2,21838208+9.6%
Virginia$340$3,300123705+7.4%
Iowa$333$3,37665408+5.3%
Connecticut$332$4,86847294+4.8%
Wyoming$326$3,974950+3.2%
South Carolina$324$2,4181091,217+2.4%
Kentucky$322$2,31665281+1.8%
Nevada$321$1,79830446+1.5%
Indiana$320$3,7831261,178+1.0%
Alabama$319$2,0671101,069+0.9%
Texas$316$3,7295223,910+0.0%
Idaho$316$1,72045403-0.1%
North Carolina$316$3,3051841,143-0.2%
Tennessee$314$3,6611491,099-0.8%
Florida$312$3,4104183,038-1.2%
Montana$301$1,75328312-4.8%
Arizona$300$3,0641111,829-5.1%
Georgia$296$2,9192101,108-6.4%
Mississippi$295$2,33854437-6.7%
Minnesota$289$2,750100383-8.7%
Pennsylvania$288$2,416183816-8.9%
Missouri$280$3,602112740-11.4%
New York$277$4,972218728-12.6%
District of Columbia$274$1,9661070-13.3%
Illinois$272$3,1621881,080-14.0%
Michigan$268$2,377172612-15.2%
New Hampshire$268$5,0601134-15.4%
Louisiana$240$2,408115790-24.3%
North Dakota$237$2,3211464-25.1%
Massachusetts$235$2,93181257-25.8%
Ohio$231$1,912170752-26.9%
Wisconsin$231$3,443103582-27.0%
Arkansas$213$1,54732131-32.8%
Oklahoma$203$1,98871536-35.9%
New Mexico$182$2,8461898-42.6%
Maine$142$1,5381331-55.1%
West Virginia$140$1,8591549-55.7%
South Dakota$133$2,41617110-57.9%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber