50323

Preparation of donor kidney for transplantation

Medicare pricing data for 897 providers across 41 states

🤖AI Overview

This procedure has a 17.9x markup — hospitals charge $1,867 but Medicare allows only $104.11. Uninsured patients may face bills 17.9 times higher than what insurance negotiates. Prices vary significantly by location — from $44 in Hawaii to $269 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Preparation of donor kidney for transplantation (HCPCS code 50323) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $104.11, but hospitals typically charge $1,867 — a 17.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$20.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $104.11, your out-of-pocket cost would be approximately $20.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$104.11
Average Hospital Charge
$1,867
Markup Ratio
17.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,866.87
Medicare Allowed$104.11
Medicare Payment$83.12

Hospitals charge 17.9x more than what Medicare allows for this procedure. Medicare actually pays $83.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$269$2,950788+158.5%
Maryland$235$2,59119270+125.7%
New Jersey$209$1,56316264+100.9%
Pennsylvania$201$2,65345376+93.2%
Michigan$131$2,51337344+25.9%
Florida$131$1,84741520+25.6%
Illinois$124$1,73143556+19.3%
Wisconsin$121$5,01732338+16.2%
Minnesota$120$1,61921183+15.5%
Ohio$112$2,68234447+7.5%
South Carolina$98$2,7658197-5.6%
Oregon$98$1,225783-6.1%
Virginia$96$1,75020194-7.5%
Mississippi$96$3,677360-7.8%
New York$96$2,67862724-7.8%
Washington$95$1,17225309-8.5%
North Dakota$93$4,248328-10.5%
Tennessee$90$67521354-13.1%
Georgia$90$84430297-13.6%
California$86$2,163831,087-17.4%
Indiana$85$1,5179129-18.3%
Utah$84$1,19012116-19.5%
Connecticut$84$1,0321257-19.5%
Massachusetts$83$2,73032215-20.0%
South Dakota$74$1,520724-28.6%
Louisiana$74$76718124-29.1%
North Carolina$74$69129344-29.3%
Kentucky$73$1,2381263-29.5%
Alabama$73$3581082-30.1%
Arkansas$70$2,022449-32.5%
Arizona$68$97725471-34.5%
Iowa$67$8788115-35.5%
Nebraska$66$4,016445-36.1%
Missouri$65$1,49825266-37.8%
New Mexico$64$1,215338-38.2%
Colorado$61$1,87816104-41.1%
Puerto Rico$55$625428-46.8%
Texas$55$91570732-46.9%
Rhode Island$51$475215-51.2%
Oklahoma$46$26415142-56.2%
Hawaii$44$258215-57.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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