50432

Placement of tube of kidney using imaging guidance with review by radiologist

Medicare pricing data for 5,327 providers across 52 states

🤖AI Overview

This procedure has a 8.5x markup — hospitals charge $1,821 but Medicare allows only $214.65. Uninsured patients may face bills 8.5 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

Placement of tube of kidney using imaging guidance with review by radiologist (HCPCS code 50432) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $214.65, but hospitals typically charge $1,821 — a 8.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$42.93

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $214.65, your out-of-pocket cost would be approximately $42.93. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$214.65
Average Hospital Charge
$1,821
Markup Ratio
8.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,821.46
Medicare Allowed$214.65
Medicare Payment$169.97

Hospitals charge 8.5x more than what Medicare allows for this procedure. Medicare actually pays $169.97 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$346$2,9181139+61.0%
Wyoming$238$1,549612+10.9%
New York$237$2,4143351,532+10.3%
Washington$231$1,027121584+7.5%
Vermont$228$6,4041045+6.3%
District of Columbia$226$1,68924111+5.5%
New Jersey$226$1,718153764+5.4%
Pennsylvania$226$1,4682551,132+5.3%
Virginia$225$1,589141642+4.7%
Massachusetts$225$1,210142696+4.7%
California$222$2,2345382,698+3.6%
Delaware$222$77117100+3.4%
Colorado$219$1,39790306+2.0%
New Hampshire$218$2,09626124+1.6%
Connecticut$217$1,95170287+1.1%
Illinois$216$1,867233996+0.4%
Maine$215$1,0002580+0.3%
Florida$215$1,8813621,632+0.3%
Maryland$213$1,14390601-0.9%
Rhode Island$212$1,18222104-1.3%
Montana$211$1,3022365-1.8%
Michigan$211$1,117165639-1.8%
New Mexico$210$2,05128111-2.3%
Indiana$209$1,665119517-2.4%
Georgia$209$1,785124432-2.6%
Wisconsin$208$3,737128483-3.2%
Texas$207$2,0713941,492-3.5%
Louisiana$207$1,86765232-3.7%
Arizona$207$2,33194495-3.8%
Nevada$206$2,37956307-3.9%
Minnesota$206$2,065101524-4.1%
Iowa$205$2,35148225-4.3%
North Dakota$204$2,6191764-5.0%
Mississippi$204$1,05242159-5.1%
Missouri$203$1,485105411-5.2%
Alabama$203$1,15877241-5.3%
South Dakota$202$1,8941871-6.0%
Oregon$201$1,22874337-6.5%
Tennessee$199$1,468112536-7.3%
Idaho$199$1,56329108-7.4%
Utah$199$1,13043127-7.4%
Arkansas$197$1,95444225-8.1%
North Carolina$196$1,605161740-8.8%
Nebraska$194$1,57029143-9.5%
West Virginia$193$1,01535163-10.1%
South Carolina$192$2,12077356-10.6%
Kentucky$191$1,25067238-10.8%
Hawaii$190$1,4761333-11.3%
Oklahoma$190$1,63663275-11.7%
Kansas$189$82346231-12.1%
Ohio$187$1,6771991,041-13.0%
Puerto Rico$176$710914-17.9%

⚠️ 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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