Needle biopsy of kidney
Medicare pricing data for 6,398 providers across 52 states
This procedure has a 8.8x markup — hospitals charge $1,130 but Medicare allows only $128.95. Uninsured patients may face bills 8.8 times higher than what insurance negotiates. Prices vary significantly by location — from $103 in Idaho to $228 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 kidney (HCPCS code 50200) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $128.95, but hospitals typically charge $1,130 — a 8.8x 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 $128.95, your out-of-pocket cost would be approximately $25.79. 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 8.8x more than what Medicare allows for this procedure. Medicare actually pays $100.67 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $228 | $2,413 | 19 | 64 | +76.6% |
| New York | $180 | $1,770 | 408 | 2,082 | +40.0% |
| California | $146 | $1,645 | 592 | 2,656 | +13.2% |
| Arkansas | $145 | $903 | 61 | 333 | +12.5% |
| New Jersey | $143 | $1,043 | 140 | 580 | +10.7% |
| Massachusetts | $137 | $1,108 | 185 | 934 | +6.0% |
| Maryland | $131 | $583 | 123 | 788 | +1.9% |
| Illinois | $131 | $1,147 | 273 | 1,630 | +1.5% |
| Nebraska | $130 | $1,224 | 41 | 244 | +0.4% |
| Florida | $129 | $1,315 | 413 | 2,032 | -0.2% |
| Michigan | $128 | $638 | 216 | 1,050 | -0.5% |
| Connecticut | $127 | $1,533 | 80 | 341 | -1.3% |
| District of Columbia | $127 | $1,010 | 29 | 130 | -1.4% |
| Pennsylvania | $124 | $923 | 288 | 1,308 | -3.6% |
| Delaware | $124 | $451 | 21 | 107 | -3.9% |
| Nevada | $122 | $1,094 | 50 | 171 | -5.6% |
| Texas | $122 | $1,008 | 440 | 2,383 | -5.6% |
| New Hampshire | $121 | $1,119 | 31 | 125 | -6.3% |
| Washington | $121 | $654 | 133 | 603 | -6.3% |
| Colorado | $121 | $764 | 120 | 408 | -6.5% |
| Indiana | $120 | $1,024 | 120 | 483 | -7.0% |
| Arizona | $120 | $1,587 | 113 | 1,079 | -7.1% |
| Georgia | $119 | $963 | 171 | 731 | -8.1% |
| Wyoming | $119 | $734 | 13 | 41 | -8.1% |
| Tennessee | $118 | $1,022 | 150 | 741 | -8.1% |
| New Mexico | $118 | $1,237 | 36 | 117 | -8.4% |
| Virginia | $118 | $1,124 | 170 | 834 | -8.4% |
| Minnesota | $118 | $1,131 | 166 | 1,102 | -8.5% |
| Puerto Rico | $118 | $266 | 10 | 14 | -8.5% |
| Louisiana | $118 | $619 | 87 | 449 | -8.9% |
| Oregon | $117 | $869 | 86 | 368 | -8.9% |
| Vermont | $117 | $2,427 | 14 | 77 | -9.1% |
| Ohio | $117 | $772 | 238 | 1,151 | -9.4% |
| Montana | $116 | $665 | 23 | 102 | -9.8% |
| Kentucky | $116 | $701 | 70 | 293 | -10.1% |
| West Virginia | $116 | $768 | 36 | 140 | -10.2% |
| Hawaii | $115 | $572 | 18 | 46 | -10.5% |
| Missouri | $115 | $832 | 156 | 707 | -10.6% |
| Wisconsin | $115 | $1,957 | 177 | 816 | -10.9% |
| Mississippi | $114 | $616 | 49 | 274 | -11.5% |
| Utah | $114 | $668 | 60 | 209 | -11.5% |
| North Carolina | $114 | $1,008 | 229 | 916 | -11.7% |
| Iowa | $114 | $913 | 64 | 382 | -11.9% |
| South Carolina | $113 | $1,106 | 89 | 483 | -12.0% |
| Kansas | $113 | $685 | 52 | 241 | -12.1% |
| Alabama | $113 | $864 | 97 | 364 | -12.2% |
| Oklahoma | $113 | $615 | 63 | 369 | -12.7% |
| Rhode Island | $112 | $667 | 29 | 132 | -13.1% |
| North Dakota | $111 | $1,519 | 16 | 113 | -13.9% |
| South Dakota | $110 | $1,037 | 19 | 161 | -14.8% |
| Maine | $109 | $550 | 29 | 65 | -15.3% |
| Idaho | $103 | $682 | 39 | 169 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber