32557

Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance

Medicare pricing data for 8,095 providers across 52 states

🤖AI Overview

This procedure has a 8.8x markup — hospitals charge $1,268 but Medicare allows only $144.52. Uninsured patients may face bills 8.8 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

Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance (HCPCS code 32557) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $144.52, but hospitals typically charge $1,268 — a 8.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$28.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $144.52, your out-of-pocket cost would be approximately $28.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$144.52
Average Hospital Charge
$1,268
Markup Ratio
8.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,268.03
Medicare Allowed$144.52
Medicare Payment$114.48

Hospitals charge 8.8x more than what Medicare allows for this procedure. Medicare actually pays $114.48 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$180$1,7482566+24.3%
Texas$172$1,6105272,155+19.0%
South Carolina$167$1,168119483+15.8%
California$158$1,5337142,871+9.1%
New York$157$1,3705192,171+8.7%
Colorado$151$864175552+4.7%
New Jersey$148$1,1982171,095+2.7%
District of Columbia$148$1,44933117+2.2%
Rhode Island$146$98441129+1.2%
Maryland$145$854149544+0.5%
North Dakota$145$2,21023176+0.5%
Connecticut$145$1,480111359+0.3%
Florida$144$1,3975822,406-0.0%
Montana$144$81831132-0.1%
Hawaii$143$7502566-1.1%
Delaware$143$75627126-1.2%
Illinois$142$1,3623031,363-1.8%
Massachusetts$141$1,049224860-2.3%
Nevada$141$1,93963299-2.4%
Pennsylvania$141$1,0354231,874-2.5%
Washington$140$651151756-3.3%
New Hampshire$140$1,67537230-3.4%
Michigan$138$763243877-4.2%
Puerto Rico$137$6651142-5.0%
Louisiana$137$1,43190260-5.4%
New Mexico$136$1,06143139-5.6%
Tennessee$136$1,162194662-5.7%
Minnesota$136$1,322180747-5.8%
Vermont$136$2,5491470-6.0%
Ohio$135$1,1283551,092-6.5%
Oregon$135$673103311-6.8%
Virginia$135$912234991-6.9%
Alabama$134$1,16590330-6.9%
Maine$134$66848106-7.1%
Missouri$134$1,105170813-7.2%
Idaho$134$1,00743213-7.4%
Arizona$134$1,783153754-7.5%
North Carolina$133$1,534269881-7.9%
Kentucky$133$955103521-8.1%
Utah$132$86068239-8.4%
Kansas$132$64564303-8.6%
Georgia$131$1,177201643-9.2%
Indiana$131$1,192170731-9.7%
South Dakota$131$1,20424216-9.7%
Wisconsin$130$2,303184702-9.8%
West Virginia$129$67557299-10.6%
Nebraska$129$1,16761293-10.7%
Wyoming$129$1,5111443-10.8%
Iowa$128$1,49773320-11.5%
Oklahoma$126$89099423-12.5%
Mississippi$126$1,46986347-12.5%
Arkansas$125$94874404-13.4%

⚠️ 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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