50200

Needle biopsy of kidney

Medicare pricing data for 6,398 providers across 52 states

🤖AI Overview

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

$25.79

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.

Average Allowed Cost
$128.95
Average Hospital Charge
$1,130
Markup Ratio
8.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,129.80
Medicare Allowed$128.95
Medicare Payment$100.67

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$228$2,4131964+76.6%
New York$180$1,7704082,082+40.0%
California$146$1,6455922,656+13.2%
Arkansas$145$90361333+12.5%
New Jersey$143$1,043140580+10.7%
Massachusetts$137$1,108185934+6.0%
Maryland$131$583123788+1.9%
Illinois$131$1,1472731,630+1.5%
Nebraska$130$1,22441244+0.4%
Florida$129$1,3154132,032-0.2%
Michigan$128$6382161,050-0.5%
Connecticut$127$1,53380341-1.3%
District of Columbia$127$1,01029130-1.4%
Pennsylvania$124$9232881,308-3.6%
Delaware$124$45121107-3.9%
Nevada$122$1,09450171-5.6%
Texas$122$1,0084402,383-5.6%
New Hampshire$121$1,11931125-6.3%
Washington$121$654133603-6.3%
Colorado$121$764120408-6.5%
Indiana$120$1,024120483-7.0%
Arizona$120$1,5871131,079-7.1%
Georgia$119$963171731-8.1%
Wyoming$119$7341341-8.1%
Tennessee$118$1,022150741-8.1%
New Mexico$118$1,23736117-8.4%
Virginia$118$1,124170834-8.4%
Minnesota$118$1,1311661,102-8.5%
Puerto Rico$118$2661014-8.5%
Louisiana$118$61987449-8.9%
Oregon$117$86986368-8.9%
Vermont$117$2,4271477-9.1%
Ohio$117$7722381,151-9.4%
Montana$116$66523102-9.8%
Kentucky$116$70170293-10.1%
West Virginia$116$76836140-10.2%
Hawaii$115$5721846-10.5%
Missouri$115$832156707-10.6%
Wisconsin$115$1,957177816-10.9%
Mississippi$114$61649274-11.5%
Utah$114$66860209-11.5%
North Carolina$114$1,008229916-11.7%
Iowa$114$91364382-11.9%
South Carolina$113$1,10689483-12.0%
Kansas$113$68552241-12.1%
Alabama$113$86497364-12.2%
Oklahoma$113$61563369-12.7%
Rhode Island$112$66729132-13.1%
North Dakota$111$1,51916113-13.9%
South Dakota$110$1,03719161-14.8%
Maine$109$5502965-15.3%
Idaho$103$68239169-19.9%

⚠️ 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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