Test for allergy using combination of methods with venom
Medicare pricing data for 542 providers across 24 states
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
Test for allergy using combination of methods with venom (HCPCS code 95017) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $8.49, but hospitals typically charge $40.29 — a 4.7x 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 $8.49, your out-of-pocket cost would be approximately $1.70. 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 4.7x more than what Medicare allows for this procedure. Medicare actually pays $6.53 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $10 | $29 | 25 | 538 | +18.4% |
| New York | $10 | $69 | 36 | 1,210 | +12.0% |
| Maryland | $9 | $30 | 12 | 286 | +11.4% |
| New Jersey | $9 | $31 | 21 | 563 | +10.4% |
| Massachusetts | $9 | $53 | 32 | 1,160 | +6.9% |
| Washington | $9 | $30 | 12 | 269 | +4.1% |
| Virginia | $9 | $37 | 17 | 366 | +3.1% |
| Connecticut | $9 | $40 | 12 | 227 | +3.1% |
| Illinois | $9 | $34 | 16 | 443 | +2.7% |
| Colorado | $9 | $36 | 6 | 218 | +2.7% |
| Florida | $8 | $28 | 46 | 797 | -1.4% |
| Georgia | $8 | $47 | 21 | 557 | -1.6% |
| Michigan | $8 | $29 | 19 | 640 | -1.9% |
| Texas | $8 | $26 | 21 | 471 | -1.9% |
| Arizona | $8 | $29 | 11 | 205 | -2.7% |
| Pennsylvania | $8 | $22 | 33 | 1,005 | -4.0% |
| North Carolina | $8 | $36 | 35 | 887 | -5.5% |
| Wisconsin | $8 | $112 | 11 | 244 | -5.8% |
| South Carolina | $8 | $85 | 20 | 663 | -7.1% |
| Tennessee | $8 | $22 | 18 | 484 | -8.4% |
| Oregon | $8 | $27 | 11 | 284 | -8.7% |
| Alabama | $8 | $30 | 7 | 176 | -9.2% |
| Minnesota | $7 | $35 | 11 | 234 | -12.0% |
| Ohio | $7 | $39 | 21 | 564 | -12.0% |
⚠️ 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