93702

Measurement of lymphedema extracellular fluid

Medicare pricing data for 233 providers across 28 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Measurement of lymphedema extracellular fluid (HCPCS code 93702) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $128.38, but hospitals typically charge $346.99 — a 2.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$25.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $128.38, your out-of-pocket cost would be approximately $25.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$128.38
Average Hospital Charge
$346.99
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$346.99
Medicare Allowed$128.38
Medicare Payment$96.77

Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $96.77 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$156$33112294+21.7%
New York$153$409351,030+19.4%
Nevada$153$2841143+19.0%
New Jersey$145$6048247+12.8%
Maryland$142$520391+11.0%
Connecticut$142$363332+10.3%
Massachusetts$138$4243136+7.5%
Virginia$137$289548+6.5%
Alaska$135$5002177+5.1%
Florida$133$394635+3.2%
Minnesota$132$319769+2.8%
Washington$131$322334+2.3%
Michigan$127$3003226-0.9%
Pennsylvania$126$26926338-1.5%
Texas$125$36920720-2.8%
Arizona$123$338221-3.9%
Utah$119$2541187-7.5%
South Carolina$118$206133-7.8%
Wisconsin$118$395478-7.9%
Missouri$117$31912121-8.5%
Nebraska$117$302322-8.6%
Indiana$116$404315-9.3%
Tennessee$116$33429543-10.0%
Kentucky$114$250287-11.6%
Louisiana$113$2493555-12.0%
Arkansas$110$2641696-14.0%
New Mexico$93$27011521-27.7%
Illinois$87$231219-32.3%

⚠️ 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