57160

Fitting and insertion of vaginal support device

Medicare pricing data for 12,862 providers across 52 states

🤖AI Overview

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

Fitting and insertion of vaginal support device (HCPCS code 57160) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $68.53, but hospitals typically charge $209.38 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.71

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $68.53, your out-of-pocket cost would be approximately $13.71. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$68.53
Average Hospital Charge
$209.38
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$209.38
Medicare Allowed$68.53
Medicare Payment$50.10

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $50.10 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$82$3038495,243+19.6%
New Jersey$79$2513872,684+15.9%
District of Columbia$78$20334357+14.3%
Maryland$76$1942211,538+11.1%
Alaska$76$37859210+11.1%
California$76$2101,1188,326+10.4%
Connecticut$75$2521871,014+9.3%
Hawaii$75$19230169+8.7%
Puerto Rico$73$1112151+7.1%
Nevada$72$15493441+5.2%
Florida$72$2148674,919+4.7%
Wyoming$71$2183197+3.0%
Rhode Island$71$16558341+2.9%
Massachusetts$69$2364033,212+1.1%
Texas$69$1986814,124+0.1%
Georgia$68$2243081,677-0.3%
Virginia$68$1793652,628-0.4%
Washington$68$2022921,712-1.2%
Oregon$67$235183890-1.8%
Michigan$67$1484662,205-2.2%
North Carolina$67$2074852,580-2.3%
Illinois$66$2295143,133-4.0%
South Carolina$66$195207900-4.2%
Arizona$66$1742131,517-4.3%
Pennsylvania$66$1866713,510-4.4%
Colorado$65$2112421,344-4.4%
Oklahoma$65$155138858-5.0%
Mississippi$64$169107516-6.9%
Louisiana$64$187179888-7.1%
Alabama$64$136169803-7.3%
Tennessee$63$2022941,708-8.2%
Kansas$63$163111845-8.6%
Indiana$62$1793111,499-8.9%
West Virginia$62$18276236-9.6%
Delaware$62$16641365-9.7%
Ohio$62$1834912,536-10.1%
Kentucky$61$171175773-11.0%
Utah$61$16496328-11.1%
Minnesota$60$258228930-11.8%
Arkansas$60$151139693-11.9%
Missouri$60$1712101,040-12.5%
Nebraska$59$192108498-14.0%
New Hampshire$59$206102564-14.6%
Montana$58$14058389-15.0%
New Mexico$58$165108503-16.1%
Iowa$57$2031561,064-17.0%
Wisconsin$54$3782311,081-20.9%
North Dakota$53$15461184-23.3%
Idaho$52$13197348-24.7%
Vermont$47$11035190-30.8%
Maine$47$13764310-31.3%
South Dakota$44$11458242-35.3%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber