97124

Therapy procedure using massage, each 15 minutes

Medicare pricing data for 4,933 providers across 50 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

Therapy procedure using massage, each 15 minutes (HCPCS code 97124) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.06, but hospitals typically charge $58.59 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.21

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $26.06, your out-of-pocket cost would be approximately $5.21. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$26.06
Average Hospital Charge
$58.59
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$58.59
Medicare Allowed$26.06
Medicare Payment$20.25

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $20.25 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$29$83123,371+11.5%
District of Columbia$28$4710186+9.1%
New Hampshire$28$701495+8.3%
Rhode Island$28$59958+8.0%
Massachusetts$28$451036,961+7.6%
New Jersey$28$11938135,326+7.4%
New York$28$5170992,725+7.4%
California$27$5260865,951+4.4%
Montana$27$561373+4.2%
Washington$27$57711,591+1.8%
Puerto Rico$27$3814613,097+1.7%
Nebraska$26$4329718+1.4%
Virginia$26$531093,336+0.4%
Connecticut$26$49441,141+0.2%
Wyoming$26$4956268+0.2%
Idaho$26$44221,711-0.6%
Colorado$26$52813,308-1.2%
Wisconsin$25$6450961-3.1%
Illinois$25$481383,185-4.6%
Iowa$25$4815149-4.9%
Maryland$25$5413814,206-5.0%
New Mexico$25$4722200-5.1%
Arkansas$25$43692,592-5.3%
Arizona$25$58641,297-5.4%
Pennsylvania$25$522459,277-5.5%
Texas$24$441927,953-6.2%
Alabama$24$39746,555-6.6%
Mississippi$24$5337624-7.4%
Kansas$24$45341,418-8.0%
Indiana$24$47713,641-8.3%
West Virginia$24$40282,032-8.6%
Ohio$24$4668690-9.1%
Delaware$24$59371,881-9.5%
Louisiana$24$39622,252-9.6%
Oregon$23$5221333-9.9%
Kentucky$23$4534384-10.2%
Missouri$23$45431,304-10.4%
Nevada$23$37414,076-10.5%
Vermont$23$587446-11.1%
Michigan$23$7512910,438-12.0%
Maine$23$491587-12.6%
North Carolina$23$47982,165-13.4%
Georgia$23$501235,515-13.5%
Minnesota$22$6718129-13.9%
Oklahoma$22$433162-14.4%
Utah$22$45371,085-15.0%
Tennessee$22$64714,419-15.5%
South Carolina$22$47964,173-17.0%
North Dakota$22$4612534-17.1%
Florida$22$5937430,308-17.4%

⚠️ 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