50435

Replacement of kidney drainage tube using imaging guidance with review by radiologist

Medicare pricing data for 5,827 providers across 51 states

🤖AI Overview

This procedure has a 9.3x markup — hospitals charge $1,144 but Medicare allows only $123.20. Uninsured patients may face bills 9.3 times higher than what insurance negotiates. Prices vary significantly by location — from $97 in West Virginia to $247 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

Replacement of kidney drainage tube using imaging guidance with review by radiologist (HCPCS code 50435) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $123.20, but hospitals typically charge $1,144 — a 9.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $123.20, your out-of-pocket cost would be approximately $24.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$123.20
Average Hospital Charge
$1,144
Markup Ratio
9.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,143.52
Medicare Allowed$123.20
Medicare Payment$95.93

Hospitals charge 9.3x more than what Medicare allows for this procedure. Medicare actually pays $95.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$247$2,5411170+100.1%
Oregon$169$1,00597452+37.2%
Maryland$163$64395961+32.5%
Massachusetts$149$8391771,111+21.3%
New York$144$1,4713962,473+17.2%
California$141$1,4675793,485+14.8%
New Jersey$133$1,2631621,113+8.1%
Tennessee$125$929116585+1.6%
Washington$124$634146718+0.8%
Texas$123$1,3804172,139-0.1%
Virginia$122$9591681,411-1.3%
Delaware$121$52622198-1.7%
Wyoming$120$8851272-2.3%
Florida$119$1,0584212,251-3.3%
Illinois$118$1,1692381,584-4.0%
Hawaii$118$7231967-4.2%
South Dakota$117$1,47717200-5.2%
North Dakota$116$3,27319231-5.8%
Pennsylvania$115$9112982,346-6.7%
Georgia$113$1,087131644-8.0%
Minnesota$113$1,233112977-8.3%
Colorado$113$716106478-8.6%
Connecticut$112$1,17384417-8.9%
Wisconsin$112$2,4211421,079-9.3%
Indiana$111$859121727-10.1%
Rhode Island$110$67924274-10.5%
Nevada$110$1,15444276-10.7%
Michigan$109$6661731,310-11.3%
Arizona$108$1,486100840-12.0%
Louisiana$108$78072300-12.2%
Alabama$108$64460287-12.5%
District of Columbia$107$73726164-13.5%
Oklahoma$107$1,04857314-13.5%
New Mexico$106$1,10730158-13.9%
Kansas$106$46940334-14.0%
New Hampshire$106$78826141-14.1%
Ohio$106$1,0651991,493-14.2%
Vermont$106$3,75412106-14.2%
Iowa$105$1,18652480-14.6%
Maine$105$45433161-14.6%
Missouri$105$931111780-14.8%
Mississippi$105$1,09639195-14.9%
Arkansas$104$1,23046248-15.3%
Utah$104$73948186-15.6%
Nebraska$104$1,02033245-15.7%
Idaho$101$59533133-18.4%
Montana$100$51022162-18.6%
South Carolina$100$1,45865496-18.6%
North Carolina$99$9791911,337-19.4%
Kentucky$98$89364279-20.4%
West Virginia$97$44347361-21.1%

⚠️ 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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