Application of ultraviolet light
Medicare pricing data for 92 providers across 9 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 (HCPCS code 97028) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.72, but hospitals typically charge $30.14 — a 4.5x 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 $6.72, your out-of-pocket cost would be approximately $1.34. 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 4.5x more than what Medicare allows for this procedure. Medicare actually pays $5.15 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| South Dakota | $8 | $125 | 7 | 151 | +17.3% |
| Nebraska | $8 | $15 | 2 | 72 | +14.9% |
| Iowa | $8 | $14 | 6 | 886 | +13.5% |
| Colorado | $7 | $14 | 1 | 46 | +11.5% |
| Texas | $7 | $84 | 7 | 171 | +2.2% |
| New York | $7 | $50 | 10 | 2,738 | +1.5% |
| Illinois | $7 | $26 | 17 | 1,699 | +0.7% |
| California | $6 | $8 | 17 | 1,925 | -7.9% |
| Florida | $6 | $8 | 2 | 371 | -8.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber