30520

Reshaping of nasal cartilage

Medicare pricing data for 5,916 providers across 51 states

🤖AI Overview

This procedure has a 5.7x markup — hospitals charge $3,405 but Medicare allows only $594.23. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. 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

Reshaping of nasal cartilage (HCPCS code 30520) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $594.23, but hospitals typically charge $3,405 — a 5.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$118.85

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $594.23, your out-of-pocket cost would be approximately $118.85. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$594.23
Average Hospital Charge
$3,405
Markup Ratio
5.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,405.02
Medicare Allowed$594.23
Medicare Payment$471.19

Hospitals charge 5.7x more than what Medicare allows for this procedure. Medicare actually pays $471.19 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$815$8,2791897+37.2%
Connecticut$687$5,40857198+15.6%
District of Columbia$666$2,3411032+12.1%
Hawaii$664$3,4811049+11.7%
California$662$4,1465632,387+11.4%
New Jersey$660$5,527160562+11.0%
Rhode Island$655$3,342719+10.3%
Wyoming$648$4,10714120+9.0%
New Hampshire$643$5,6322685+8.2%
Virginia$642$3,548140546+8.0%
Colorado$639$3,751133730+7.5%
Massachusetts$636$2,560135424+7.0%
Maryland$633$3,384110450+6.4%
Minnesota$630$3,615103289+6.1%
Arizona$628$3,787121905+5.7%
Washington$625$2,243158826+5.2%
Oregon$618$2,683102462+4.1%
Iowa$613$3,11468292+3.2%
Nevada$609$3,10631197+2.5%
South Carolina$602$3,696113752+1.3%
Delaware$602$2,1231696+1.3%
Pennsylvania$594$2,470231895-0.1%
Florida$592$3,4124062,064-0.3%
New Mexico$592$3,46025115-0.4%
New York$592$5,086245741-0.4%
Kentucky$591$2,88663250-0.5%
Maine$588$1,6831948-1.1%
North Carolina$587$3,310207850-1.2%
Tennessee$587$3,216137845-1.3%
Utah$587$3,14683330-1.3%
Vermont$583$2,148512-1.8%
Kansas$580$3,21772810-2.4%
Nebraska$580$2,29456216-2.4%
Missouri$578$3,322117409-2.7%
Illinois$577$3,680211811-2.8%
Michigan$577$2,337190613-3.0%
Idaho$576$1,97245265-3.0%
Wisconsin$573$5,068112332-3.6%
North Dakota$572$2,0991767-3.8%
Montana$571$2,11332226-3.8%
Arkansas$567$1,57138138-4.6%
Alabama$563$2,562112686-5.2%
Indiana$561$3,489155879-5.5%
Texas$551$3,9085222,794-7.2%
Ohio$550$2,142200684-7.5%
Georgia$539$3,001201754-9.3%
Mississippi$526$2,51359381-11.5%
West Virginia$525$1,6812154-11.6%
South Dakota$524$2,79524122-11.8%
Oklahoma$524$2,01778387-11.8%
Louisiana$500$2,719114413-15.9%

⚠️ 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