96377

Application of on-body injector for under skin injection

Medicare pricing data for 2,827 providers across 42 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

Application of on-body injector for under skin injection (HCPCS code 96377) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.28, but hospitals typically charge $79.81 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.66

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.28, your out-of-pocket cost would be approximately $3.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.28
Average Hospital Charge
$79.81
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$79.81
Medicare Allowed$18.28
Medicare Payment$14.43

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $14.43 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$21$732434,674+16.4%
Alaska$21$1126109+14.3%
District of Columbia$21$741082+12.5%
Maine$20$79636+10.2%
Massachusetts$20$7713154+10.2%
Maryland$20$73811,719+9.7%
New Jersey$20$8378766+8.6%
Connecticut$20$9721126+7.7%
Colorado$19$9454488+3.4%
Delaware$19$8910160+2.7%
Oregon$19$9144329+2.0%
Washington$19$7935365+1.7%
Illinois$18$941812,555+0.5%
Nevada$18$6718106+0.3%
Virginia$18$861201,309+0.2%
Minnesota$18$1011291,0910.0%
New Mexico$18$7525251-0.3%
Michigan$18$5445535-0.5%
Pennsylvania$18$6675784-0.5%
New York$18$8894790-1.6%
Florida$18$672371,701-1.6%
Texas$18$924314,862-1.9%
Wisconsin$18$1202091-3.3%
Arizona$18$941431,357-3.6%
South Carolina$17$6929776-5.6%
Ohio$17$9764672-5.6%
North Carolina$17$8126236-5.9%
Indiana$17$7150587-6.8%
Kansas$17$8824177-6.8%
Utah$17$5011109-6.9%
Nebraska$17$8540725-6.9%
Missouri$17$9256354-7.5%
Georgia$17$6949505-8.3%
Iowa$17$5852844-8.4%
Tennessee$17$631552,859-8.4%
Louisiana$17$8033669-8.6%
Kentucky$17$65662-9.6%
Arkansas$16$7330608-10.8%
Alabama$16$7943484-10.9%
West Virginia$16$43232-11.5%
Mississippi$16$7217946-14.2%
Oklahoma$15$54368-17.9%

⚠️ 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