Professional service for preparation and provision of 5 stinging insect venom
Medicare pricing data for 818 providers across 27 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 5 stinging insect venom (HCPCS code 95149) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $107.73, but hospitals typically charge $202.30 — 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 $107.73, your out-of-pocket cost would be approximately $21.55. 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 $82.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $130 | $200 | 27 | 835 | +21.0% |
| Maryland | $124 | $237 | 31 | 471 | +14.7% |
| Connecticut | $120 | $213 | 14 | 263 | +11.7% |
| Massachusetts | $120 | $344 | 45 | 819 | +11.1% |
| Washington | $118 | $240 | 28 | 370 | +9.8% |
| Colorado | $118 | $197 | 11 | 112 | +9.2% |
| Virginia | $115 | $193 | 35 | 492 | +6.4% |
| Oregon | $114 | $228 | 13 | 119 | +5.8% |
| California | $114 | $185 | 23 | 341 | +5.7% |
| Arizona | $110 | $200 | 13 | 208 | +2.0% |
| Texas | $110 | $152 | 16 | 832 | +1.8% |
| Wisconsin | $109 | $336 | 16 | 247 | +0.9% |
| North Carolina | $106 | $235 | 59 | 1,247 | -1.3% |
| Florida | $106 | $170 | 41 | 861 | -1.5% |
| New York | $105 | $228 | 76 | 824 | -2.3% |
| South Carolina | $103 | $188 | 29 | 554 | -4.0% |
| Georgia | $103 | $258 | 23 | 385 | -4.2% |
| Pennsylvania | $103 | $148 | 51 | 1,271 | -4.4% |
| Kentucky | $101 | $212 | 10 | 91 | -6.5% |
| Illinois | $100 | $139 | 27 | 397 | -7.6% |
| Tennessee | $99 | $171 | 41 | 1,005 | -8.3% |
| West Virginia | $98 | $183 | 9 | 73 | -9.1% |
| Alabama | $97 | $129 | 12 | 164 | -9.6% |
| Indiana | $96 | $182 | 14 | 213 | -10.5% |
| Ohio | $93 | $220 | 27 | 311 | -13.4% |
| Vermont | $91 | $92 | 2 | 53 | -15.5% |
| Michigan | $89 | $133 | 36 | 608 | -17.1% |
⚠️ 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