Acupuncture, each additional 15 minutes
Medicare pricing data for 769 providers across 36 states
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
Acupuncture, each additional 15 minutes (HCPCS code 97811) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $29.88, but hospitals typically charge $98.98 — a 3.3x 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 $29.88, your out-of-pocket cost would be approximately $5.98. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $23.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $33 | $86 | 74 | 19,293 | +9.2% |
| District of Columbia | $32 | $60 | 1 | 396 | +7.8% |
| New Jersey | $31 | $180 | 82 | 18,979 | +3.2% |
| Virginia | $31 | $58 | 5 | 200 | +2.8% |
| California | $31 | $78 | 108 | 16,624 | +2.5% |
| Connecticut | $30 | $134 | 8 | 525 | +1.3% |
| Pennsylvania | $29 | $79 | 49 | 3,280 | -1.3% |
| Maryland | $29 | $80 | 22 | 2,659 | -1.8% |
| Massachusetts | $29 | $91 | 15 | 1,525 | -2.3% |
| Michigan | $29 | $61 | 27 | 2,904 | -2.8% |
| Nevada | $29 | $83 | 2 | 321 | -3.5% |
| Illinois | $29 | $64 | 8 | 1,756 | -3.7% |
| Texas | $28 | $169 | 10 | 1,159 | -5.1% |
| Delaware | $28 | $67 | 5 | 263 | -6.4% |
| Hawaii | $28 | $34 | 4 | 252 | -6.4% |
| Minnesota | $28 | $103 | 129 | 4,323 | -7.7% |
| Washington | $28 | $72 | 17 | 760 | -7.8% |
| Missouri | $27 | $57 | 4 | 234 | -8.7% |
| North Carolina | $27 | $55 | 13 | 398 | -8.7% |
| Wisconsin | $27 | $40 | 22 | 1,171 | -8.7% |
| Alabama | $27 | $45 | 2 | 133 | -9.3% |
| Georgia | $27 | $91 | 8 | 1,102 | -9.4% |
| Florida | $26 | $65 | 32 | 3,770 | -11.6% |
| New Hampshire | $26 | $51 | 4 | 451 | -11.6% |
| Ohio | $26 | $55 | 10 | 1,718 | -12.3% |
| Arizona | $26 | $83 | 22 | 2,070 | -12.4% |
| Colorado | $26 | $48 | 21 | 1,750 | -14.1% |
| New Mexico | $26 | $59 | 7 | 826 | -14.2% |
| Oregon | $26 | $35 | 12 | 2,109 | -14.2% |
| Tennessee | $26 | $43 | 4 | 122 | -14.3% |
| Nebraska | $26 | $76 | 3 | 18 | -14.4% |
| Vermont | $25 | $31 | 1 | 77 | -16.1% |
| Maine | $25 | $63 | 3 | 351 | -17.5% |
| Kentucky | $25 | $65 | 2 | 54 | -17.7% |
| Idaho | $24 | $67 | 2 | 15 | -19.8% |
| Indiana | $20 | $45 | 3 | 137 | -32.2% |
⚠️ 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