Professional service for preparation and provision of 4 stinging insect venom
Medicare pricing data for 1,031 providers across 30 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
Professional service for preparation and provision of 4 stinging insect venom (HCPCS code 95148) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $80.45, but hospitals typically charge $156.80 — a 1.9x 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 $80.45, your out-of-pocket cost would be approximately $16.09. 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 1.9x more than what Medicare allows for this procedure. Medicare actually pays $60.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $99 | $132 | 51 | 734 | +22.7% |
| Washington | $95 | $180 | 38 | 571 | +17.8% |
| Connecticut | $94 | $194 | 27 | 435 | +16.9% |
| Maryland | $92 | $147 | 42 | 396 | +14.5% |
| Colorado | $90 | $148 | 12 | 204 | +12.4% |
| Minnesota | $88 | $315 | 12 | 222 | +9.9% |
| California | $88 | $151 | 21 | 291 | +8.9% |
| Massachusetts | $87 | $268 | 45 | 900 | +7.9% |
| New York | $86 | $177 | 80 | 1,187 | +6.6% |
| Virginia | $85 | $127 | 41 | 657 | +5.3% |
| New Hampshire | $85 | $114 | 9 | 344 | +5.2% |
| Oregon | $85 | $191 | 15 | 174 | +5.2% |
| Montana | $84 | $168 | 5 | 179 | +4.3% |
| Texas | $84 | $113 | 17 | 240 | +4.0% |
| Georgia | $81 | $212 | 24 | 821 | +1.3% |
| North Carolina | $80 | $162 | 77 | 2,301 | -0.4% |
| Wisconsin | $80 | $266 | 25 | 610 | -0.5% |
| Florida | $80 | $138 | 42 | 676 | -0.9% |
| Delaware | $79 | $185 | 18 | 126 | -1.6% |
| Idaho | $79 | $154 | 3 | 96 | -2.1% |
| Pennsylvania | $79 | $119 | 57 | 1,316 | -2.2% |
| Illinois | $79 | $122 | 25 | 379 | -2.4% |
| South Carolina | $78 | $148 | 36 | 1,123 | -2.5% |
| Tennessee | $76 | $122 | 45 | 946 | -5.9% |
| Ohio | $75 | $141 | 34 | 401 | -6.6% |
| Michigan | $75 | $113 | 44 | 870 | -7.4% |
| Arizona | $74 | $114 | 9 | 189 | -7.7% |
| Mississippi | $74 | $97 | 11 | 180 | -8.2% |
| Indiana | $70 | $114 | 25 | 545 | -13.3% |
| West Virginia | $54 | $75 | 9 | 219 | -32.4% |
⚠️ 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