95144

Professional service for preparation and provision of single-dose vial of allergen

Medicare pricing data for 218 providers across 18 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

Professional service for preparation and provision of single-dose vial of allergen (HCPCS code 95144) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.38, but hospitals typically charge $30.19 — a 1.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.28

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.38, your out-of-pocket cost would be approximately $3.28. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.38
Average Hospital Charge
$30.19
Markup Ratio
1.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$30.19
Medicare Allowed$16.38
Medicare Payment$12.77

Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $12.77 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$19$37127,031+15.8%
California$19$344014,711+15.4%
Connecticut$18$3057,163+9.6%
Pennsylvania$18$3632,603+8.4%
Illinois$17$322017,997+6.7%
Texas$17$314547,329+2.4%
Maryland$17$2273,030+1.8%
Michigan$16$2973,392-1.5%
Arizona$16$243149,324-4.9%
Missouri$15$366352-6.0%
New Mexico$15$3936,100-6.5%
Indiana$15$293493-6.8%
Kansas$15$2345,390-7.3%
Tennessee$15$4022,260-8.4%
Oklahoma$15$205258-9.4%
Arkansas$14$2477,935-13.2%
Nevada$14$7031,785-13.6%
Washington$13$3967,040-23.2%

⚠️ 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