Application of hot and cold baths, each 15 minutes
Medicare pricing data for 224 providers across 15 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 hot and cold baths, each 15 minutes (HCPCS code 97034) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.01, but hospitals typically charge $31.21 — a 2.8x 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 $11.01, your out-of-pocket cost would be approximately $2.20. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $8.54 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $12 | $35 | 7 | 917 | +9.4% |
| New Jersey | $12 | $40 | 15 | 152 | +7.9% |
| New York | $12 | $50 | 12 | 16 | +5.9% |
| California | $12 | $18 | 24 | 915 | +5.1% |
| Pennsylvania | $11 | $27 | 13 | 701 | +0.5% |
| Florida | $11 | $26 | 31 | 2,883 | -0.5% |
| Indiana | $11 | $46 | 2 | 16 | -1.8% |
| Virginia | $11 | $132 | 14 | 192 | -3.3% |
| Utah | $11 | $24 | 5 | 150 | -4.4% |
| Louisiana | $10 | $54 | 7 | 162 | -6.4% |
| Alabama | $10 | $26 | 12 | 234 | -6.7% |
| Texas | $10 | $25 | 12 | 153 | -7.6% |
| Wyoming | $10 | $33 | 7 | 528 | -10.4% |
| Mississippi | $10 | $42 | 12 | 121 | -11.2% |
| North Dakota | $10 | $33 | 1 | 64 | -11.6% |
⚠️ 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