32555

Aspiration of fluid from chest cavity using imaging guidance

Medicare pricing data for 19,858 providers across 52 states

🤖AI Overview

This procedure has a 8.0x markup — hospitals charge $889.90 but Medicare allows only $111.10. Uninsured patients may face bills 8.0 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

Aspiration of fluid from chest cavity using imaging guidance (HCPCS code 32555) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $111.10, but hospitals typically charge $889.90 — a 8.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$22.22

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $111.10, your out-of-pocket cost would be approximately $22.22. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$111.10
Average Hospital Charge
$889.90
Markup Ratio
8.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$889.90
Medicare Allowed$111.10
Medicare Payment$87.56

Hospitals charge 8.0x more than what Medicare allows for this procedure. Medicare actually pays $87.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$128$1,06659556+15.6%
Arkansas$128$6791902,584+14.9%
Maryland$126$6553025,299+13.0%
California$121$9791,90323,465+9.0%
Washington$121$6344825,034+8.9%
Massachusetts$121$7635244,258+8.8%
New Mexico$121$932124824+8.6%
District of Columbia$120$65370698+7.8%
Iowa$119$8712251,870+6.8%
Connecticut$118$9872622,717+6.5%
Oregon$118$6783542,128+6.5%
New York$118$1,1871,0568,174+6.1%
Hawaii$118$58571447+6.0%
Nebraska$117$8091581,482+4.9%
Puerto Rico$116$41630232+4.3%
Kansas$114$6012311,662+2.8%
Illinois$114$1,0627838,616+2.4%
Nevada$114$1,1702012,132+2.3%
New Jersey$114$8274245,287+2.2%
Tennessee$112$9854364,168+1.1%
Florida$112$9131,29518,587+1.1%
Virginia$111$6285376,165+0.2%
Texas$110$1,1611,36514,081-0.6%
Arizona$108$1,3463865,778-2.6%
Utah$108$4681971,583-3.0%
Wyoming$108$1,04737521-3.1%
Colorado$107$6013762,574-3.5%
Rhode Island$106$76782808-4.3%
Pennsylvania$106$63782410,523-4.5%
New Hampshire$106$805102970-4.5%
Minnesota$106$8424974,214-4.6%
Missouri$106$7414275,054-5.0%
Michigan$105$4917247,050-5.4%
Vermont$105$1,30257398-5.8%
Montana$105$49985828-5.9%
North Dakota$104$1,352371,052-6.2%
Georgia$104$8595464,568-6.8%
Indiana$103$8254334,618-7.4%
North Carolina$103$9246776,655-7.6%
Alabama$103$6992742,616-7.7%
Ohio$102$8497536,597-7.8%
South Carolina$102$7213353,282-8.3%
Maine$102$563102478-8.4%
West Virginia$102$4951381,161-8.4%
Louisiana$101$1,1442572,285-8.7%
Delaware$101$40449967-8.7%
Mississippi$101$1,7901832,098-9.1%
South Dakota$101$728641,084-9.2%
Wisconsin$100$1,5114794,024-10.1%
Oklahoma$99$6432053,018-11.0%
Kentucky$97$5892802,756-12.4%
Idaho$94$7711191,459-15.1%

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

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