A4648

Tissue marker, implantable, any type, each

Medicare pricing data for 959 providers across 41 states

🤖AI Overview

Prices vary significantly by location — from $23 in North Dakota to $749 in Ohio. 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

Tissue marker, implantable, any type, each (HCPCS code A4648) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $188.93, but hospitals typically charge $460.52 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$37.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $188.93, your out-of-pocket cost would be approximately $37.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$188.93
Average Hospital Charge
$460.52
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$460.52
Medicare Allowed$188.93
Medicare Payment$150.47

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $150.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Ohio$749$8006454+296.6%
District of Columbia$634$874351+235.3%
Colorado$472$59324232+149.7%
New Jersey$457$2,10965455+141.7%
Utah$453$460247+139.6%
Maryland$431$58346341+128.2%
Oklahoma$392$71224432+107.5%
Idaho$360$3692115+90.8%
Louisiana$336$9739103+77.8%
Arkansas$331$9407148+75.1%
Delaware$264$3888243+39.7%
Mississippi$247$311867+31.0%
New Mexico$243$792334+28.5%
Illinois$241$656401,440+27.7%
Arizona$201$37755989+6.3%
Pennsylvania$194$36330329+2.9%
Michigan$185$387490-2.2%
Alaska$169$219589-10.6%
Texas$169$49151572-10.7%
Nevada$158$94610502-16.2%
Virginia$152$22012166-19.5%
New York$148$398982,309-21.5%
Florida$146$560741,131-23.0%
Kansas$141$235432-25.4%
Kentucky$131$2119243-30.4%
Wisconsin$128$702581-32.3%
Minnesota$124$315892-34.4%
Alabama$120$26528362-36.6%
Hawaii$116$1264163-38.4%
Rhode Island$114$182715-39.4%
California$114$247802,188-39.6%
North Carolina$106$35738295-44.0%
Tennessee$96$21321962-49.1%
Indiana$87$26815222-54.0%
Massachusetts$81$29059796-56.9%
Missouri$75$13823396-60.2%
Georgia$68$135451-64.0%
South Carolina$40$10421490-78.9%
Washington$40$18415143-79.0%
Oregon$37$247669-80.3%
North Dakota$23$3443108-87.8%

⚠️ 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

🏥 See Medicare hospital data on OpenMedicare