Vancomycin (antibiotic) level
Medicare pricing data for 405 providers across 39 states
This procedure has a 7.6x markup — hospitals charge $101.31 but Medicare allows only $13.25. Uninsured patients may face bills 7.6 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
Vancomycin (antibiotic) level (HCPCS code 80202) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.25, but hospitals typically charge $101.31 — a 7.6x 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 $13.25, your out-of-pocket cost would be approximately $2.65. 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 7.6x more than what Medicare allows for this procedure. Medicare actually pays $13.25 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $13 | $88 | 7 | 406 | +0.2% |
| Illinois | $13 | $69 | 21 | 2,242 | +0.2% |
| Indiana | $13 | $48 | 4 | 49 | +0.2% |
| Kansas | $13 | $138 | 8 | 803 | +0.2% |
| Kentucky | $13 | $27 | 5 | 128 | +0.2% |
| Louisiana | $13 | $75 | 7 | 296 | +0.2% |
| Maine | $13 | $74 | 2 | 67 | +0.2% |
| Maryland | $13 | $39 | 11 | 722 | +0.2% |
| Massachusetts | $13 | $103 | 9 | 1,169 | +0.2% |
| Michigan | $13 | $47 | 11 | 208 | +0.2% |
| Minnesota | $13 | $69 | 18 | 76 | +0.2% |
| Missouri | $13 | $119 | 8 | 405 | +0.2% |
| New Mexico | $13 | $83 | 1 | 45 | +0.2% |
| New York | $13 | $130 | 10 | 2,264 | +0.2% |
| Ohio | $13 | $66 | 15 | 2,064 | +0.2% |
| Oklahoma | $13 | $101 | 6 | 595 | +0.2% |
| Oregon | $13 | $75 | 5 | 77 | +0.2% |
| Pennsylvania | $13 | $133 | 9 | 451 | +0.2% |
| Rhode Island | $13 | $69 | 1 | 140 | +0.2% |
| South Carolina | $13 | $64 | 3 | 33 | +0.2% |
| Utah | $13 | $54 | 5 | 279 | +0.2% |
| Washington | $13 | $92 | 10 | 390 | +0.2% |
| Arkansas | $13 | $20 | 2 | 135 | +0.2% |
| California | $13 | $120 | 47 | 6,894 | +0.2% |
| Colorado | $13 | $76 | 7 | 490 | +0.2% |
| Mississippi | $13 | $99 | 8 | 7,126 | +0.1% |
| New Jersey | $13 | $131 | 11 | 9,653 | +0.1% |
| North Carolina | $13 | $93 | 9 | 2,630 | +0.1% |
| Texas | $13 | $109 | 36 | 3,874 | +0.1% |
| Florida | $13 | $82 | 34 | 7,268 | 0.0% |
| Virginia | $13 | $58 | 8 | 1,356 | 0.0% |
| Alabama | $13 | $94 | 12 | 714 | 0.0% |
| Tennessee | $13 | $76 | 9 | 969 | -0.1% |
| Arizona | $13 | $123 | 3 | 1,723 | -0.2% |
| Connecticut | $13 | $159 | 3 | 198 | -0.7% |
| Nevada | $13 | $51 | 6 | 1,051 | -0.8% |
| Iowa | $13 | $62 | 6 | 58 | -1.1% |
| Hawaii | $13 | $66 | 2 | 149 | -1.6% |
| Wisconsin | $12 | $96 | 10 | 422 | -6.0% |
⚠️ 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