Professional service for preparation and provision of 3 stinging insect venom
Medicare pricing data for 689 providers across 24 states
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
Professional service for preparation and provision of 3 stinging insect venom (HCPCS code 95147) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $57.55, but hospitals typically charge $113.06 — a 2.0x 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 $57.55, your out-of-pocket cost would be approximately $11.51. 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 2.0x more than what Medicare allows for this procedure. Medicare actually pays $43.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $69 | $127 | 29 | 240 | +19.2% |
| California | $66 | $98 | 41 | 626 | +14.0% |
| Connecticut | $65 | $151 | 13 | 144 | +12.6% |
| New York | $65 | $124 | 50 | 466 | +12.2% |
| Maryland | $63 | $113 | 33 | 222 | +9.6% |
| Washington | $61 | $120 | 27 | 230 | +6.7% |
| Minnesota | $59 | $185 | 19 | 269 | +3.1% |
| Oregon | $59 | $203 | 11 | 103 | +2.8% |
| Massachusetts | $58 | $157 | 34 | 397 | +0.9% |
| Pennsylvania | $57 | $92 | 41 | 458 | -1.1% |
| Virginia | $57 | $95 | 30 | 338 | -1.7% |
| Georgia | $56 | $172 | 18 | 220 | -2.0% |
| Illinois | $56 | $111 | 19 | 170 | -2.3% |
| Florida | $56 | $98 | 40 | 731 | -2.9% |
| Texas | $55 | $77 | 25 | 380 | -4.2% |
| Michigan | $55 | $95 | 26 | 594 | -5.3% |
| Wisconsin | $54 | $182 | 11 | 121 | -5.3% |
| North Carolina | $54 | $109 | 45 | 540 | -5.8% |
| Ohio | $54 | $96 | 17 | 220 | -7.0% |
| Indiana | $53 | $145 | 15 | 113 | -7.3% |
| South Carolina | $53 | $97 | 20 | 377 | -8.8% |
| Idaho | $52 | $129 | 8 | 100 | -8.9% |
| Arizona | $52 | $124 | 12 | 86 | -10.3% |
| Tennessee | $52 | $99 | 19 | 169 | -10.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber