97018

Application of hot wax bath

Medicare pricing data for 5,606 providers across 51 states

🤖AI Overview

This procedure has a 8.2x markup — hospitals charge $33.61 but Medicare allows only $4.09. Uninsured patients may face bills 8.2 times higher than what insurance negotiates. 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 hot wax bath (HCPCS code 97018) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.09, but hospitals typically charge $33.61 — a 8.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.09, your out-of-pocket cost would be approximately $0.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.09
Average Hospital Charge
$33.61
Markup Ratio
8.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$33.61
Medicare Allowed$4.09
Medicare Payment$3.18

Hospitals charge 8.2x more than what Medicare allows for this procedure. Medicare actually pays $3.18 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$5$491685+21.5%
New York$5$4729810,139+14.4%
District of Columbia$5$4710311+11.2%
New Jersey$4$4237115,742+7.3%
Connecticut$4$3846560+5.1%
Maryland$4$321956,396+4.9%
California$4$3292743,669+3.2%
Illinois$4$52113975+1.0%
Rhode Island$4$3221217+0.2%
Massachusetts$4$21454,2570.0%
Florida$4$301913,019-0.7%
Washington$4$241473,440-1.0%
Colorado$4$271023,074-1.2%
Hawaii$4$2724333-1.5%
Montana$4$1812137-2.2%
Delaware$4$43601,723-2.4%
Michigan$4$331351,600-2.4%
Nevada$4$37902,853-2.7%
Pennsylvania$4$382845,909-2.9%
Oregon$4$2366916-3.4%
New Hampshire$4$398247-4.4%
Georgia$4$301201,996-4.6%
Virginia$4$421383,485-4.6%
Wyoming$4$2536991-4.6%
Texas$4$282054,713-5.9%
Arizona$4$291364,850-6.1%
Missouri$4$43701,280-6.6%
North Dakota$4$3210147-6.8%
Utah$4$3536316-7.1%
Puerto Rico$4$1241456-7.1%
Louisiana$4$341735,369-7.3%
Ohio$4$341061,880-7.3%
Maine$4$3212114-7.8%
West Virginia$4$3856788-7.8%
North Carolina$4$271182,343-8.3%
Minnesota$4$2994654-8.6%
Kentucky$4$19883,808-8.8%
South Carolina$4$22682,436-9.3%
Wisconsin$4$54110943-10.3%
Kansas$4$31711,152-11.0%
South Dakota$4$281895-11.0%
Mississippi$4$261061,443-11.7%
Indiana$4$4246339-12.0%
New Mexico$4$3441433-12.0%
Alabama$4$381462,674-12.0%
Nebraska$4$18401,034-12.2%
Oklahoma$4$2964528-12.2%
Tennessee$4$331461,711-12.2%
Idaho$4$17401,237-13.0%
Iowa$4$3848349-13.2%
Arkansas$4$2557793-13.7%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber