89060

Crystal identification from tissue or body fluid

Medicare pricing data for 1,884 providers across 48 states

🤖AI Overview

This procedure has a 7.0x markup — hospitals charge $70.24 but Medicare allows only $9.97. Uninsured patients may face bills 7.0 times higher than what insurance negotiates. Prices vary significantly by location — from $7 in North Dakota to $24 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

Crystal identification from tissue or body fluid (HCPCS code 89060) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.97, but hospitals typically charge $70.24 — a 7.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.99

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $9.97, your out-of-pocket cost would be approximately $1.99. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$9.97
Average Hospital Charge
$70.24
Markup Ratio
7.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$70.24
Medicare Allowed$9.97
Medicare Payment$8.87

Hospitals charge 7.0x more than what Medicare allows for this procedure. Medicare actually pays $8.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$24$61117+139.1%
New Hampshire$18$77422+82.5%
Rhode Island$17$45313+73.8%
West Virginia$17$48512+70.1%
South Carolina$16$5350289+61.6%
Missouri$15$6137306+53.4%
Massachusetts$15$86882,654+47.3%
Indiana$14$5233228+45.1%
Ohio$14$731041,679+42.4%
Michigan$13$4634250+33.3%
Idaho$13$68436+33.2%
Connecticut$13$4811110+32.6%
Louisiana$13$5542289+30.1%
Nebraska$12$519214+25.0%
Iowa$12$5352432+24.4%
Pennsylvania$12$66871,383+22.2%
Kansas$11$7843552+13.5%
Delaware$11$9314169+11.8%
Mississippi$11$691558+10.1%
Colorado$11$8228550+10.1%
Virginia$11$3334319+9.5%
New York$11$78571,675+9.2%
Nevada$11$1128207+8.0%
Illinois$11$9897925+7.9%
Tennessee$11$5348471+7.7%
Minnesota$10$6486408+2.7%
Kentucky$10$3813128+1.4%
California$10$771212,890+0.9%
Texas$10$831532,338-3.4%
South Dakota$10$575257-4.4%
Oklahoma$9$6316247-6.4%
Washington$9$7343570-8.4%
Utah$9$498122-9.7%
North Carolina$9$89622,424-11.3%
Arizona$9$5725456-13.5%
Alabama$9$7125454-13.8%
Maine$8$3614115-15.7%
Florida$8$661286,474-15.9%
Oregon$8$3515159-18.0%
Wisconsin$8$6535349-20.3%
New Jersey$8$92953,157-20.5%
Georgia$8$6039751-22.5%
Arkansas$7$38629-25.6%
Maryland$7$37424,051-26.3%
Hawaii$7$20496-26.9%
District of Columbia$7$66434-28.0%
New Mexico$7$63252-28.0%
North Dakota$7$45579-28.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber