77600

Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less

Medicare pricing data for 56 providers across 6 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

Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less (HCPCS code 77600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $549.51, but hospitals typically charge $838.12 — a 1.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$109.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $549.51, your out-of-pocket cost would be approximately $109.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$549.51
Average Hospital Charge
$838.12
Markup Ratio
1.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$838.12
Medicare Allowed$549.51
Medicare Payment$437.71

Hospitals charge 1.5x more than what Medicare allows for this procedure. Medicare actually pays $437.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$576$1,016366,787+4.9%
Illinois$569$771141+3.6%
Washington$539$69271,820-1.9%
Florida$530$57841,810-3.5%
Texas$503$61012,125-8.4%
Arizona$480$8593315-12.7%

⚠️ 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