49440

Insertion of stomach tube using fluoroscopic guidance with contrast

Medicare pricing data for 4,401 providers across 50 states

🤖AI Overview

This procedure has a 9.2x markup — hospitals charge $1,860 but Medicare allows only $201.49. Uninsured patients may face bills 9.2 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

Insertion of stomach tube using fluoroscopic guidance with contrast (HCPCS code 49440) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $201.49, but hospitals typically charge $1,860 — a 9.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$40.30

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $201.49, your out-of-pocket cost would be approximately $40.30. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$201.49
Average Hospital Charge
$1,860
Markup Ratio
9.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,860.36
Medicare Allowed$201.49
Medicare Payment$159.55

Hospitals charge 9.2x more than what Medicare allows for this procedure. Medicare actually pays $159.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$255$1,838755+26.3%
New York$252$1,991248859+25.2%
Arizona$238$2,45985449+18.1%
Arkansas$220$1,76043176+9.2%
California$210$2,2274772,155+4.1%
District of Columbia$206$1,81020124+2.5%
Maryland$205$1,52581473+1.6%
New Jersey$202$2,442100259+0.3%
Rhode Island$202$1,8801636+0.2%
Illinois$202$1,929182757+0.1%
Connecticut$202$2,77659260+0.0%
Massachusetts$201$1,237131599-0.2%
Florida$200$2,1853751,830-0.7%
Montana$200$1,1871628-0.9%
Delaware$197$6161778-2.1%
Texas$197$2,2263591,648-2.3%
Pennsylvania$197$1,325216781-2.4%
Tennessee$196$1,54295470-2.6%
Michigan$196$867153568-2.7%
Hawaii$196$9461884-2.9%
Washington$195$1,060117591-3.2%
Colorado$195$1,14878268-3.3%
Georgia$194$2,20394485-3.7%
Virginia$193$1,472119535-4.0%
New Mexico$193$1,54625105-4.1%
Nevada$192$1,8202882-4.7%
Missouri$190$1,92991436-5.7%
Louisiana$190$1,56542164-5.9%
Oregon$189$1,23261151-6.1%
North Dakota$189$2,0731763-6.4%
West Virginia$188$8101566-6.5%
Minnesota$188$1,76386427-6.6%
Vermont$188$3,1111238-6.9%
Ohio$187$1,550137339-7.0%
South Carolina$187$1,52751241-7.2%
Nebraska$187$2,48729161-7.3%
Oklahoma$187$81636135-7.4%
North Carolina$186$2,023124574-7.5%
Wisconsin$186$3,80192311-7.9%
Maine$185$1,2332040-8.1%
Kansas$185$70021153-8.3%
New Hampshire$185$2,23217101-8.4%
Idaho$183$92323138-9.0%
Mississippi$183$1,53838197-9.0%
Utah$183$1,0724095-9.1%
Alabama$182$1,27751147-9.8%
Indiana$182$1,89393448-9.9%
Iowa$178$1,44829135-11.8%
Kentucky$177$1,61742141-12.1%
South Dakota$161$1,6722491-19.9%

⚠️ 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