Needle biopsy of liver through skin
Medicare pricing data for 7,656 providers across 52 states
This procedure has a 7.7x markup — hospitals charge $708.22 but Medicare allows only $92.38. Uninsured patients may face bills 7.7 times higher than what insurance negotiates. Prices vary significantly by location — from $78 in Idaho to $168 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
Needle biopsy of liver through skin (HCPCS code 47000) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $92.38, but hospitals typically charge $708.22 — a 7.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $92.38, your out-of-pocket cost would be approximately $18.48. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 7.7x more than what Medicare allows for this procedure. Medicare actually pays $72.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $168 | $2,067 | 22 | 105 | +81.5% |
| Nebraska | $124 | $868 | 45 | 495 | +34.2% |
| Arkansas | $121 | $650 | 74 | 603 | +31.5% |
| New Mexico | $119 | $713 | 41 | 203 | +29.2% |
| Nevada | $106 | $782 | 80 | 286 | +15.2% |
| New York | $105 | $1,066 | 434 | 2,348 | +13.3% |
| California | $104 | $920 | 680 | 3,548 | +12.2% |
| Tennessee | $103 | $652 | 170 | 1,158 | +11.1% |
| Arizona | $102 | $999 | 147 | 927 | +10.6% |
| Utah | $102 | $438 | 72 | 299 | +10.5% |
| New Jersey | $100 | $704 | 167 | 913 | +8.3% |
| Oregon | $99 | $555 | 109 | 531 | +7.1% |
| Washington | $97 | $428 | 170 | 990 | +5.3% |
| Iowa | $96 | $820 | 75 | 489 | +4.3% |
| Connecticut | $94 | $790 | 105 | 431 | +1.8% |
| Texas | $94 | $790 | 554 | 3,208 | +1.2% |
| Kansas | $93 | $342 | 77 | 524 | +1.2% |
| Maryland | $93 | $468 | 146 | 976 | +0.9% |
| Massachusetts | $93 | $584 | 201 | 1,311 | +0.4% |
| Florida | $92 | $730 | 526 | 2,667 | +0.1% |
| District of Columbia | $91 | $499 | 23 | 178 | -1.5% |
| Illinois | $91 | $818 | 300 | 2,017 | -1.5% |
| Michigan | $88 | $385 | 243 | 1,204 | -4.9% |
| Delaware | $87 | $290 | 22 | 187 | -6.3% |
| Colorado | $86 | $797 | 132 | 566 | -6.6% |
| Kentucky | $85 | $603 | 108 | 600 | -7.5% |
| Vermont | $85 | $1,548 | 14 | 91 | -7.6% |
| Pennsylvania | $85 | $542 | 338 | 2,019 | -7.6% |
| Montana | $85 | $444 | 31 | 184 | -7.8% |
| Minnesota | $85 | $740 | 205 | 1,000 | -8.4% |
| Ohio | $85 | $534 | 306 | 1,474 | -8.5% |
| Georgia | $84 | $746 | 219 | 1,037 | -8.8% |
| Puerto Rico | $84 | $328 | 12 | 21 | -9.1% |
| Rhode Island | $84 | $456 | 39 | 195 | -9.5% |
| Indiana | $83 | $571 | 163 | 972 | -10.3% |
| Wyoming | $82 | $510 | 17 | 64 | -11.0% |
| Virginia | $82 | $557 | 190 | 1,343 | -11.3% |
| Oklahoma | $82 | $383 | 86 | 570 | -11.3% |
| North Carolina | $82 | $647 | 287 | 1,362 | -11.5% |
| Louisiana | $81 | $553 | 116 | 608 | -11.9% |
| Maine | $81 | $363 | 43 | 144 | -11.9% |
| New Hampshire | $81 | $1,059 | 35 | 284 | -12.4% |
| Hawaii | $81 | $376 | 23 | 84 | -12.8% |
| Missouri | $81 | $583 | 147 | 1,034 | -12.8% |
| North Dakota | $80 | $1,085 | 19 | 182 | -13.0% |
| South Carolina | $80 | $537 | 102 | 731 | -13.2% |
| Alabama | $80 | $518 | 125 | 535 | -13.3% |
| South Dakota | $80 | $575 | 21 | 229 | -13.7% |
| Mississippi | $79 | $749 | 67 | 538 | -14.2% |
| Wisconsin | $79 | $1,282 | 189 | 965 | -14.3% |
| West Virginia | $79 | $472 | 45 | 271 | -14.8% |
| Idaho | $78 | $508 | 46 | 264 | -15.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber