96910

Therapy procedure using ultraviolet radiation with tar or petroleum jelly application

Medicare pricing data for 3,162 providers across 48 states

🤖AI Overview

Prices vary significantly by location — from $62 in Montana to $136 in California. Where you get this procedure matters more than almost any other factor. 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

Therapy procedure using ultraviolet radiation with tar or petroleum jelly application (HCPCS code 96910) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $121.37, but hospitals typically charge $226.92 — a 1.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $121.37, your out-of-pocket cost would be approximately $24.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$121.37
Average Hospital Charge
$226.92
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$226.92
Medicare Allowed$121.37
Medicare Payment$94.87

Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $94.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$136$24236457,923+12.0%
District of Columbia$134$200141,600+10.7%
New York$134$28930522,794+10.5%
New Jersey$131$20416814,720+7.9%
Massachusetts$130$32711612,406+7.5%
Alaska$129$2606282+5.9%
Maryland$127$21411413,228+4.9%
Washington$124$2531327,578+2.0%
Colorado$124$181282,345+2.0%
Virginia$123$243614,210+1.6%
Rhode Island$122$24811,040+0.9%
Delaware$119$171113,480-1.7%
Connecticut$119$187603,045-2.1%
Minnesota$118$255704,561-2.4%
Vermont$118$21610312-3.0%
Illinois$116$22815512,406-4.4%
Pennsylvania$114$1871277,134-5.8%
Florida$114$19823039,226-6.0%
Missouri$112$214532,944-7.3%
Nevada$111$149251,005-8.3%
Oregon$111$292662,332-8.6%
Hawaii$110$19411228-9.7%
Wisconsin$109$292583,490-10.0%
Michigan$109$1871026,059-10.6%
New Hampshire$108$35019546-10.7%
North Carolina$108$192704,711-10.9%
Texas$108$21819613,197-11.1%
Arizona$107$201502,919-11.5%
Maine$107$23724724-11.5%
South Carolina$107$172315,894-11.6%
Utah$107$14310426-11.8%
Ohio$107$193433,371-11.9%
Indiana$106$179442,242-12.4%
Nebraska$106$20512642-12.4%
Georgia$105$174521,467-13.8%
Alabama$103$145251,472-15.0%
Kansas$102$16423945-16.1%
Oklahoma$102$145131,283-16.1%
Iowa$101$233342,538-16.7%
Arkansas$101$181151,038-16.8%
Louisiana$100$167321,280-17.4%
West Virginia$100$2236276-17.6%
Kentucky$99$14322836-18.1%
Tennessee$98$165573,059-18.9%
Idaho$98$213441,813-19.3%
Mississippi$94$204392,300-22.9%
Puerto Rico$76$785614-37.4%
Montana$62$1006445-49.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber