96900

Application of ultraviolet light to skin

Medicare pricing data for 3,260 providers across 48 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 ultraviolet light to skin (HCPCS code 96900) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.12, but hospitals typically charge $64.83 — a 2.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.12, your out-of-pocket cost would be approximately $4.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.12
Average Hospital Charge
$64.83
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$64.83
Medicare Allowed$24.12
Medicare Payment$17.98

Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $17.98 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$30$7733617,165+22.9%
New Jersey$27$60912,943+13.5%
New York$27$631987,526+11.0%
District of Columbia$27$509906+10.7%
Alaska$26$816125+9.7%
Massachusetts$26$841277,951+8.2%
Maryland$26$57451,713+6.8%
Rhode Island$25$534720+5.6%
Connecticut$25$56431,936+4.7%
Virginia$25$55895,561+3.6%
Illinois$25$8113612,529+2.8%
Colorado$25$59381,140+2.0%
Maine$24$62281,766+0.3%
Oregon$24$631057,006+0.2%
Nevada$24$4414888-0.0%
North Dakota$24$658280-0.1%
Montana$24$3915937-0.2%
New Hampshire$24$88231,346-0.5%
Minnesota$24$841366,015-0.5%
Washington$24$631285,063-1.3%
Wyoming$24$57141,162-1.9%
Vermont$24$66377-2.5%
Georgia$23$66612,408-2.8%
Arizona$23$78602,848-3.5%
Pennsylvania$23$451365,859-4.0%
Texas$23$651416,696-4.1%
Florida$23$632039,968-5.2%
Utah$23$55241,416-6.1%
Wisconsin$23$951165,455-6.3%
Missouri$22$55502,757-7.8%
Ohio$22$591245,692-8.0%
North Carolina$22$501095,936-8.0%
Michigan$22$561225,515-8.3%
South Dakota$22$3811197-8.7%
Nebraska$22$56211,021-9.1%
Louisiana$21$55542,140-11.3%
Indiana$21$53703,047-11.4%
South Carolina$21$74482,693-11.4%
Kentucky$21$45623,229-12.1%
Kansas$21$46393,634-12.4%
Arkansas$21$45151,021-12.6%
Alabama$21$46492,350-13.1%
Oklahoma$21$39191,239-13.1%
New Mexico$21$6481,781-14.1%
Tennessee$21$39441,573-14.1%
Idaho$21$3723969-14.8%
Iowa$20$66301,458-15.1%
West Virginia$18$5615458-23.7%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber