Injection for rapid desensitization to allergen
Medicare pricing data for 498 providers across 28 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
Injection for rapid desensitization to allergen (HCPCS code 95180) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $135.17, but hospitals typically charge $326.77 — a 2.4x 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 $135.17, your out-of-pocket cost would be approximately $27.03. 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 2.4x more than what Medicare allows for this procedure. Medicare actually pays $106.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $155 | $286 | 8 | 140 | +14.5% |
| California | $147 | $348 | 69 | 2,976 | +8.9% |
| New Jersey | $145 | $343 | 7 | 115 | +7.2% |
| Massachusetts | $141 | $419 | 11 | 618 | +4.6% |
| New York | $135 | $344 | 30 | 220 | +0.1% |
| Washington | $135 | $291 | 15 | 150 | -0.2% |
| Illinois | $134 | $284 | 14 | 294 | -0.5% |
| Michigan | $134 | $245 | 11 | 38 | -0.6% |
| Minnesota | $134 | $427 | 11 | 89 | -0.8% |
| Georgia | $133 | $372 | 11 | 168 | -1.5% |
| Florida | $133 | $201 | 17 | 173 | -1.6% |
| Virginia | $132 | $350 | 23 | 937 | -2.2% |
| Nevada | $132 | $307 | 8 | 288 | -2.4% |
| Texas | $131 | $277 | 21 | 503 | -2.8% |
| Oregon | $131 | $377 | 10 | 250 | -3.2% |
| Arizona | $131 | $270 | 27 | 673 | -3.3% |
| South Dakota | $130 | $162 | 2 | 74 | -3.6% |
| North Carolina | $130 | $274 | 24 | 378 | -4.1% |
| Indiana | $129 | $285 | 16 | 345 | -4.6% |
| Kentucky | $128 | $309 | 28 | 1,119 | -5.3% |
| Wisconsin | $126 | $395 | 7 | 224 | -6.6% |
| Utah | $123 | $269 | 13 | 155 | -9.0% |
| Ohio | $123 | $643 | 9 | 160 | -9.3% |
| South Carolina | $123 | $268 | 11 | 138 | -9.3% |
| Colorado | $121 | $310 | 15 | 145 | -10.6% |
| Tennessee | $121 | $270 | 18 | 272 | -10.8% |
| Idaho | $118 | $273 | 10 | 125 | -12.5% |
| Alabama | $117 | $170 | 7 | 97 | -13.6% |
⚠️ 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