49083

Drainage of fluid from abdominal cavity using imaging guidance

Medicare pricing data for 19,911 providers across 52 states

🤖AI Overview

This procedure has a 6.7x markup — hospitals charge $710.92 but Medicare allows only $105.54. Uninsured patients may face bills 6.7 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

Drainage of fluid from abdominal cavity using imaging guidance (HCPCS code 49083) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $105.54, but hospitals typically charge $710.92 — a 6.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.11

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $105.54, your out-of-pocket cost would be approximately $21.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$105.54
Average Hospital Charge
$710.92
Markup Ratio
6.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$710.92
Medicare Allowed$105.54
Medicare Payment$82.72

Hospitals charge 6.7x more than what Medicare allows for this procedure. Medicare actually pays $82.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$136$9102231,797+28.9%
New Jersey$124$9403676,592+17.7%
Alaska$122$1,56573593+15.5%
California$118$7562,35423,842+11.7%
New York$118$8771,08410,279+11.5%
Oregon$117$6104012,764+10.7%
Arkansas$113$7951822,325+7.1%
Washington$112$6845095,343+6.5%
New Mexico$112$6011701,709+6.1%
Massachusetts$110$6065975,728+4.6%
District of Columbia$110$57174703+3.8%
Texas$109$8171,34219,204+3.1%
Tennessee$108$6484225,749+2.8%
Maryland$108$4502984,790+2.1%
Florida$107$8111,09915,298+1.3%
Virginia$107$5335327,769+0.9%
Connecticut$106$6542452,633+0.3%
Illinois$105$76271710,860-0.4%
Minnesota$104$6965415,155-1.0%
Rhode Island$104$584941,120-1.2%
Arizona$104$1,1303525,580-1.8%
Delaware$102$34866905-2.9%
Utah$102$4371911,697-3.6%
Puerto Rico$102$37427150-3.7%
Montana$101$47784640-4.5%
Colorado$101$6213913,028-4.5%
Hawaii$101$48368425-4.7%
North Carolina$100$6767428,463-5.2%
Kansas$100$5111822,191-5.2%
Georgia$100$7784455,460-5.5%
New Hampshire$99$625881,154-5.8%
Vermont$99$1,12158328-6.0%
Pennsylvania$99$50284813,405-6.1%
North Dakota$98$869441,049-6.8%
Missouri$97$5313834,626-7.6%
Maine$97$439109723-7.7%
West Virginia$97$4371251,946-8.0%
Alabama$97$5932762,726-8.1%
Michigan$97$4076758,096-8.3%
Louisiana$97$7522553,174-8.3%
Nebraska$96$6621161,847-9.0%
Wyoming$96$1,02537456-9.1%
Ohio$96$6936618,391-9.3%
Indiana$96$5403865,523-9.5%
South Carolina$95$5703163,905-9.7%
Iowa$95$6791692,592-10.1%
Mississippi$94$8001692,004-10.8%
Idaho$93$5941251,281-11.5%
Oklahoma$93$5132493,601-12.0%
Wisconsin$92$1,5115155,288-12.6%
South Dakota$92$588691,357-13.1%
Kentucky$92$6402953,876-13.2%

⚠️ 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