Needle biopsy of growth of abdominal cavity
Medicare pricing data for 5,738 providers across 52 states
This procedure has a 7.8x markup — hospitals charge $643.36 but Medicare allows only $82.55. Uninsured patients may face bills 7.8 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
Needle biopsy of growth of abdominal cavity (HCPCS code 49180) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $82.55, but hospitals typically charge $643.36 — a 7.8x 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 $82.55, your out-of-pocket cost would be approximately $16.51. 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 7.8x more than what Medicare allows for this procedure. Medicare actually pays $64.80 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $139 | $1,574 | 18 | 50 | +68.5% |
| Arkansas | $103 | $510 | 59 | 254 | +25.3% |
| New Mexico | $93 | $573 | 33 | 100 | +12.9% |
| Tennessee | $89 | $581 | 130 | 547 | +8.4% |
| California | $89 | $755 | 529 | 2,001 | +7.4% |
| New York | $89 | $686 | 339 | 1,342 | +7.4% |
| New Jersey | $87 | $556 | 143 | 502 | +5.2% |
| Texas | $86 | $839 | 398 | 1,791 | +3.7% |
| Maryland | $85 | $466 | 104 | 469 | +2.6% |
| Washington | $84 | $316 | 122 | 510 | +2.3% |
| Florida | $84 | $736 | 389 | 1,454 | +2.2% |
| Nebraska | $83 | $601 | 39 | 263 | +1.0% |
| Michigan | $83 | $361 | 185 | 582 | -0.0% |
| District of Columbia | $82 | $638 | 18 | 71 | -0.4% |
| Massachusetts | $82 | $508 | 149 | 749 | -1.2% |
| Montana | $82 | $445 | 25 | 88 | -1.2% |
| Connecticut | $81 | $714 | 74 | 227 | -1.3% |
| Illinois | $81 | $678 | 250 | 1,061 | -1.5% |
| Arizona | $80 | $1,054 | 133 | 503 | -3.4% |
| Minnesota | $80 | $711 | 140 | 599 | -3.6% |
| Georgia | $80 | $803 | 167 | 479 | -3.7% |
| Vermont | $79 | $989 | 12 | 51 | -3.9% |
| Delaware | $79 | $255 | 17 | 86 | -4.0% |
| Colorado | $79 | $485 | 110 | 251 | -4.6% |
| Pennsylvania | $79 | $537 | 257 | 916 | -4.6% |
| Oregon | $79 | $393 | 78 | 268 | -4.7% |
| New Hampshire | $79 | $730 | 27 | 91 | -4.8% |
| Louisiana | $78 | $595 | 65 | 192 | -5.1% |
| Missouri | $78 | $618 | 114 | 452 | -5.2% |
| Puerto Rico | $78 | $207 | 7 | 12 | -5.5% |
| Maine | $78 | $308 | 25 | 48 | -5.7% |
| Kentucky | $78 | $444 | 68 | 245 | -5.8% |
| Rhode Island | $78 | $403 | 33 | 108 | -6.0% |
| Nevada | $77 | $981 | 50 | 129 | -6.1% |
| Ohio | $77 | $540 | 219 | 768 | -6.3% |
| Virginia | $77 | $565 | 144 | 565 | -6.4% |
| Kansas | $77 | $370 | 52 | 213 | -6.5% |
| Hawaii | $77 | $319 | 16 | 30 | -6.7% |
| Indiana | $77 | $520 | 120 | 380 | -7.0% |
| Alabama | $76 | $491 | 71 | 216 | -7.6% |
| North Carolina | $76 | $612 | 221 | 677 | -8.0% |
| Utah | $76 | $326 | 38 | 123 | -8.3% |
| South Carolina | $76 | $686 | 81 | 282 | -8.3% |
| Oklahoma | $75 | $433 | 58 | 238 | -8.9% |
| South Dakota | $75 | $397 | 16 | 96 | -9.2% |
| North Dakota | $75 | $670 | 20 | 78 | -9.3% |
| Wisconsin | $75 | $1,120 | 156 | 512 | -9.5% |
| Iowa | $74 | $604 | 51 | 248 | -10.0% |
| Mississippi | $74 | $450 | 43 | 175 | -10.1% |
| Idaho | $74 | $598 | 30 | 108 | -10.4% |
| Wyoming | $73 | $311 | 7 | 16 | -11.4% |
| West Virginia | $73 | $356 | 34 | 108 | -11.6% |
⚠️ 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