Irrigation of implanted venous access drug delivery device
Medicare pricing data for 5,913 providers across 50 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
Irrigation of implanted venous access drug delivery device (HCPCS code 96523) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.94, but hospitals typically charge $92.97 — a 3.7x 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 $24.94, your out-of-pocket cost would be approximately $4.99. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $18.25 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $30 | $102 | 548 | 11,603 | +21.6% |
| District of Columbia | $30 | $84 | 10 | 52 | +20.1% |
| New Jersey | $29 | $106 | 140 | 2,412 | +15.4% |
| Maryland | $28 | $81 | 149 | 5,663 | +11.2% |
| Connecticut | $28 | $99 | 40 | 718 | +11.1% |
| New York | $28 | $134 | 351 | 3,807 | +10.6% |
| Vermont | $27 | $91 | 4 | 48 | +9.6% |
| Alaska | $27 | $128 | 21 | 380 | +9.0% |
| Massachusetts | $27 | $79 | 43 | 500 | +8.1% |
| Colorado | $26 | $108 | 81 | 1,391 | +5.8% |
| New Hampshire | $26 | $115 | 20 | 405 | +4.8% |
| Delaware | $26 | $110 | 16 | 298 | +4.3% |
| Washington | $26 | $103 | 170 | 2,257 | +3.2% |
| Maine | $25 | $103 | 14 | 215 | +1.6% |
| Oregon | $25 | $96 | 83 | 580 | +1.6% |
| Virginia | $25 | $93 | 188 | 3,243 | +1.6% |
| Minnesota | $25 | $110 | 145 | 642 | +1.3% |
| Pennsylvania | $25 | $76 | 126 | 2,687 | +1.2% |
| Nevada | $25 | $86 | 70 | 2,773 | +0.6% |
| Wyoming | $25 | $122 | 20 | 162 | +0.2% |
| Puerto Rico | $25 | $63 | 37 | 286 | -0.1% |
| South Dakota | $25 | $149 | 25 | 159 | -0.8% |
| Michigan | $25 | $68 | 118 | 2,211 | -1.6% |
| Florida | $25 | $76 | 405 | 6,526 | -1.6% |
| Illinois | $24 | $107 | 259 | 4,453 | -2.2% |
| Texas | $24 | $109 | 664 | 15,158 | -2.3% |
| Arizona | $24 | $89 | 190 | 5,510 | -2.5% |
| Wisconsin | $23 | $149 | 116 | 718 | -6.0% |
| Montana | $23 | $101 | 12 | 28 | -6.1% |
| North Carolina | $23 | $83 | 141 | 1,730 | -6.2% |
| North Dakota | $23 | $117 | 58 | 226 | -6.3% |
| New Mexico | $23 | $121 | 44 | 1,233 | -6.6% |
| Ohio | $23 | $100 | 168 | 3,987 | -7.2% |
| Nebraska | $23 | $60 | 62 | 2,237 | -7.9% |
| South Carolina | $23 | $100 | 83 | 1,866 | -8.1% |
| Iowa | $23 | $82 | 86 | 1,213 | -8.4% |
| Idaho | $23 | $77 | 16 | 227 | -8.6% |
| Indiana | $23 | $105 | 103 | 2,916 | -8.7% |
| Kansas | $23 | $79 | 102 | 3,890 | -8.8% |
| Oklahoma | $23 | $61 | 54 | 1,268 | -9.7% |
| Tennessee | $23 | $71 | 273 | 4,956 | -9.8% |
| Georgia | $22 | $100 | 112 | 2,664 | -9.9% |
| Louisiana | $22 | $72 | 52 | 877 | -10.1% |
| Missouri | $22 | $75 | 105 | 2,146 | -10.2% |
| West Virginia | $22 | $59 | 11 | 586 | -10.9% |
| Utah | $22 | $58 | 46 | 604 | -11.5% |
| Alabama | $22 | $56 | 118 | 2,295 | -12.0% |
| Kentucky | $22 | $65 | 64 | 663 | -12.3% |
| Arkansas | $22 | $82 | 82 | 1,704 | -12.8% |
| Mississippi | $21 | $88 | 49 | 1,480 | -13.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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