90870

Therapy using electrical currents

Medicare pricing data for 1,204 providers across 48 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

Therapy using electrical currents (HCPCS code 90870) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $105.43, but hospitals typically charge $428.92 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.09

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $105.43, your out-of-pocket cost would be approximately $21.09. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$105.43
Average Hospital Charge
$428.92
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$428.92
Medicare Allowed$105.43
Medicare Payment$82.52

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $82.52 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$114$6473912+8.3%
District of Columbia$114$4043287+7.7%
New York$112$564836,261+6.6%
New Jersey$111$493493,632+5.3%
California$110$579726,060+4.5%
Connecticut$109$424221,517+3.8%
Massachusetts$109$317676,090+3.4%
Washington$108$354241,679+2.3%
Maryland$107$338191,880+1.9%
Texas$106$381572,825+0.9%
Rhode Island$106$432101,046+0.6%
Illinois$106$461464,363+0.6%
Oregon$106$3975196+0.2%
Maine$105$605221,759-0.5%
New Hampshire$105$42814910-0.6%
Virginia$105$463201,643-0.8%
Wyoming$104$3823172-0.9%
New Mexico$104$65712371-1.0%
Florida$104$366604,294-1.0%
Georgia$103$343231,761-2.1%
Colorado$103$383191,754-2.3%
Michigan$103$339463,089-2.3%
Louisiana$103$3289306-2.4%
Missouri$103$396392,300-2.5%
Vermont$103$47771,198-2.6%
Minnesota$103$540485,033-2.6%
Wisconsin$103$75817720-2.7%
Ohio$102$370452,596-3.0%
Pennsylvania$102$291492,575-3.0%
Delaware$102$8064310-3.1%
North Dakota$102$4833285-3.1%
North Carolina$102$453532,652-3.3%
Utah$101$38813916-4.1%
Arizona$101$372191,338-4.1%
South Carolina$101$380211,147-4.5%
Mississippi$101$3346835-4.5%
Kansas$101$36516528-4.5%
South Dakota$101$1295612-4.5%
Kentucky$101$2809990-4.6%
Oklahoma$100$2633688-5.1%
Indiana$100$331171,537-5.5%
Tennessee$100$285241,813-5.5%
Nebraska$99$419161,976-6.0%
Alabama$99$32912590-6.4%
Idaho$99$2695119-6.6%
Iowa$98$45821932-6.7%
West Virginia$94$3157265-10.4%
Arkansas$92$4337196-12.3%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber