97814

Acupuncture with electrical stimulation, each additional 15 minutes

Medicare pricing data for 665 providers across 32 states

🤖AI Overview

Prices vary significantly by location — from $20 in Iowa to $42 in New York. Where you get this procedure matters more than almost any other factor. 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 with electrical stimulation, each additional 15 minutes (HCPCS code 97814) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.80, but hospitals typically charge $93.93 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $38.80, your out-of-pocket cost would be approximately $7.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$38.80
Average Hospital Charge
$93.93
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$93.93
Medicare Allowed$38.80
Medicare Payment$30.51

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $30.51 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$42$978926,094+8.4%
Maryland$41$55275,281+4.8%
New Jersey$40$1307411,986+3.7%
Pennsylvania$40$106313,980+2.0%
Virginia$39$947350+1.0%
California$39$949712,119-0.0%
Illinois$38$68143,605-2.4%
Texas$37$131171,031-3.6%
Connecticut$37$4552,181-3.8%
Michigan$37$66192,257-4.0%
Nevada$37$984117-5.1%
Massachusetts$37$79121,325-5.3%
Colorado$36$74182,000-7.5%
Delaware$36$805774-8.1%
Oregon$36$937238-8.5%
Ohio$35$113181,191-9.0%
Louisiana$35$792198-9.9%
Florida$35$75296,467-10.2%
Georgia$35$706429-10.3%
Indiana$35$70231-10.5%
Minnesota$34$10768830-11.3%
Wisconsin$34$122212,561-11.4%
South Carolina$34$993201-11.8%
Alabama$34$552106-12.9%
Kentucky$33$943249-13.9%
Washington$33$859444-14.8%
Tennessee$33$634263-15.4%
North Carolina$33$769540-15.9%
Arizona$32$93213,524-18.7%
Maine$31$672189-19.2%
Idaho$28$72286-27.1%
Iowa$20$2111204-48.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber