Injection of biodegradable material next to prostate
Medicare pricing data for 2,556 providers across 50 states
Prices vary significantly by location — from $150 in West Virginia to $3,152 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
Injection of biodegradable material next to prostate (HCPCS code 55874) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,436, but hospitals typically charge $6,879 — a 4.8x 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 $1,436, your out-of-pocket cost would be approximately $287.24. 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 4.8x more than what Medicare allows for this procedure. Medicare actually pays $1,142 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $3,152 | $22,433 | 6 | 54 | +119.5% |
| Hawaii | $2,872 | $8,725 | 12 | 68 | +100.0% |
| District of Columbia | $2,450 | $10,092 | 7 | 94 | +70.6% |
| Nevada | $2,362 | $8,171 | 16 | 220 | +64.5% |
| Maryland | $2,334 | $6,724 | 54 | 508 | +62.5% |
| California | $2,275 | $10,468 | 220 | 2,080 | +58.4% |
| Delaware | $2,139 | $6,104 | 11 | 176 | +48.9% |
| Illinois | $1,947 | $7,977 | 94 | 974 | +35.5% |
| New Jersey | $1,900 | $14,491 | 71 | 655 | +32.3% |
| Tennessee | $1,890 | $6,372 | 47 | 627 | +31.6% |
| New York | $1,776 | $10,417 | 160 | 1,589 | +23.7% |
| Oklahoma | $1,714 | $7,247 | 55 | 356 | +19.3% |
| Utah | $1,635 | $10,636 | 20 | 203 | +13.9% |
| Texas | $1,632 | $6,027 | 154 | 1,436 | +13.6% |
| Florida | $1,525 | $7,512 | 207 | 1,702 | +6.2% |
| Arizona | $1,502 | $7,936 | 107 | 783 | +4.6% |
| Colorado | $1,480 | $5,502 | 39 | 287 | +3.1% |
| Alabama | $1,401 | $6,471 | 17 | 117 | -2.5% |
| Louisiana | $1,385 | $5,513 | 38 | 232 | -3.6% |
| Arkansas | $1,334 | $4,525 | 31 | 241 | -7.1% |
| Idaho | $1,270 | $3,910 | 9 | 51 | -11.6% |
| Oregon | $1,253 | $6,051 | 27 | 122 | -12.8% |
| Montana | $1,227 | $3,700 | 19 | 131 | -14.6% |
| North Dakota | $1,157 | $5,330 | 8 | 123 | -19.4% |
| Nebraska | $1,154 | $5,226 | 43 | 263 | -19.6% |
| Missouri | $1,141 | $4,757 | 63 | 505 | -20.5% |
| Kansas | $1,138 | $3,363 | 31 | 460 | -20.8% |
| Rhode Island | $1,093 | $3,164 | 8 | 62 | -23.9% |
| South Carolina | $1,077 | $5,370 | 63 | 533 | -25.0% |
| Pennsylvania | $1,053 | $4,084 | 115 | 1,006 | -26.7% |
| Indiana | $1,006 | $7,755 | 50 | 398 | -30.0% |
| Georgia | $959 | $5,118 | 88 | 471 | -33.3% |
| Virginia | $929 | $4,479 | 60 | 899 | -35.3% |
| Massachusetts | $927 | $3,576 | 58 | 407 | -35.5% |
| Washington | $924 | $3,384 | 42 | 374 | -35.7% |
| Mississippi | $901 | $3,585 | 11 | 93 | -37.3% |
| Kentucky | $813 | $3,019 | 28 | 203 | -43.4% |
| North Carolina | $785 | $3,893 | 75 | 445 | -45.3% |
| Ohio | $701 | $2,639 | 92 | 599 | -51.2% |
| Wisconsin | $689 | $10,935 | 45 | 298 | -52.0% |
| Michigan | $638 | $3,785 | 81 | 446 | -55.6% |
| New Mexico | $525 | $5,814 | 8 | 69 | -63.4% |
| Minnesota | $418 | $8,543 | 29 | 326 | -70.9% |
| Connecticut | $294 | $6,129 | 49 | 269 | -79.5% |
| Maine | $164 | $586 | 3 | 12 | -88.6% |
| New Hampshire | $161 | $1,082 | 9 | 38 | -88.8% |
| Wyoming | $159 | $2,404 | 6 | 42 | -88.9% |
| South Dakota | $153 | $512 | 18 | 108 | -89.4% |
| Iowa | $153 | $1,500 | 28 | 186 | -89.4% |
| West Virginia | $150 | $965 | 11 | 64 | -89.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber