Slings
Medicare pricing data for 8,363 providers across 51 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
Slings (HCPCS code A4565) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.82, but hospitals typically charge $25.73 — a 2.6x 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 $9.82, your out-of-pocket cost would be approximately $1.96. 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 2.6x more than what Medicare allows for this procedure. Medicare actually pays $7.21 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Vermont | $10 | $19 | 11 | 20 | +3.0% |
| Maine | $10 | $39 | 49 | 71 | +2.9% |
| West Virginia | $10 | $26 | 56 | 91 | +2.9% |
| New Jersey | $10 | $30 | 179 | 495 | +2.5% |
| Delaware | $10 | $21 | 16 | 59 | +2.3% |
| Pennsylvania | $10 | $32 | 359 | 850 | +2.3% |
| Massachusetts | $10 | $32 | 235 | 518 | +2.1% |
| Wyoming | $10 | $17 | 45 | 102 | +2.0% |
| Virginia | $10 | $34 | 432 | 1,172 | +1.9% |
| Connecticut | $10 | $23 | 76 | 142 | +1.9% |
| Nebraska | $10 | $18 | 54 | 334 | +1.8% |
| Georgia | $10 | $24 | 166 | 384 | +1.6% |
| Iowa | $10 | $19 | 137 | 352 | +1.6% |
| Louisiana | $10 | $23 | 178 | 470 | +1.6% |
| Oklahoma | $10 | $20 | 103 | 167 | +1.6% |
| Maryland | $10 | $36 | 339 | 1,383 | +1.4% |
| California | $10 | $25 | 888 | 2,022 | +1.4% |
| Idaho | $10 | $24 | 58 | 103 | +1.3% |
| Kentucky | $10 | $29 | 53 | 100 | +1.3% |
| New York | $10 | $21 | 342 | 699 | +1.1% |
| Indiana | $10 | $18 | 175 | 490 | +1.0% |
| Arkansas | $10 | $22 | 47 | 73 | +1.0% |
| District of Columbia | $10 | $22 | 13 | 18 | +0.9% |
| Ohio | $10 | $22 | 162 | 349 | +0.9% |
| Arizona | $10 | $135 | 32 | 55 | +0.9% |
| Alaska | $10 | $28 | 41 | 87 | +0.7% |
| Illinois | $10 | $29 | 580 | 1,609 | +0.6% |
| Kansas | $10 | $25 | 140 | 481 | +0.4% |
| Mississippi | $10 | $20 | 127 | 556 | +0.4% |
| Oregon | $10 | $17 | 70 | 138 | +0.3% |
| Rhode Island | $10 | $17 | 20 | 36 | 0.0% |
| Tennessee | $10 | $19 | 257 | 820 | -0.1% |
| Michigan | $10 | $35 | 102 | 150 | -0.3% |
| New Mexico | $10 | $23 | 27 | 53 | -0.3% |
| Colorado | $10 | $18 | 127 | 239 | -0.3% |
| New Hampshire | $10 | $20 | 155 | 356 | -0.4% |
| North Dakota | $10 | $22 | 10 | 15 | -0.6% |
| North Carolina | $10 | $18 | 286 | 512 | -1.7% |
| Texas | $10 | $21 | 518 | 897 | -1.8% |
| Utah | $10 | $20 | 87 | 124 | -1.8% |
| South Carolina | $10 | $26 | 142 | 273 | -1.9% |
| Montana | $10 | $18 | 37 | 85 | -2.3% |
| Alabama | $10 | $22 | 97 | 285 | -2.5% |
| Florida | $10 | $34 | 414 | 970 | -3.1% |
| Minnesota | $10 | $16 | 207 | 351 | -3.1% |
| Nevada | $9 | $28 | 76 | 198 | -3.6% |
| Wisconsin | $9 | $21 | 315 | 530 | -4.5% |
| South Dakota | $9 | $13 | 40 | 84 | -5.6% |
| Missouri | $9 | $25 | 77 | 168 | -8.4% |
| Hawaii | $9 | $19 | 40 | 63 | -8.8% |
| Washington | $8 | $12 | 149 | 221 | -23.5% |
⚠️ 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