Tissue marker, implantable, any type, each
Medicare pricing data for 959 providers across 41 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Ohio | $749 | $800 | 6 | 454 | +296.6% |
| District of Columbia | $634 | $874 | 3 | 51 | +235.3% |
| Colorado | $472 | $593 | 24 | 232 | +149.7% |
| New Jersey | $457 | $2,109 | 65 | 455 | +141.7% |
| Utah | $453 | $460 | 2 | 47 | +139.6% |
| Maryland | $431 | $583 | 46 | 341 | +128.2% |
| Oklahoma | $392 | $712 | 24 | 432 | +107.5% |
| Idaho | $360 | $369 | 2 | 115 | +90.8% |
| Louisiana | $336 | $973 | 9 | 103 | +77.8% |
| Arkansas | $331 | $940 | 7 | 148 | +75.1% |
| Delaware | $264 | $388 | 8 | 243 | +39.7% |
| Mississippi | $247 | $311 | 8 | 67 | +31.0% |
| New Mexico | $243 | $792 | 3 | 34 | +28.5% |
| Illinois | $241 | $656 | 40 | 1,440 | +27.7% |
| Arizona | $201 | $377 | 55 | 989 | +6.3% |
| Pennsylvania | $194 | $363 | 30 | 329 | +2.9% |
| Michigan | $185 | $387 | 4 | 90 | -2.2% |
| Alaska | $169 | $219 | 5 | 89 | -10.6% |
| Texas | $169 | $491 | 51 | 572 | -10.7% |
| Nevada | $158 | $946 | 10 | 502 | -16.2% |
| Virginia | $152 | $220 | 12 | 166 | -19.5% |
| New York | $148 | $398 | 98 | 2,309 | -21.5% |
| Florida | $146 | $560 | 74 | 1,131 | -23.0% |
| Kansas | $141 | $235 | 4 | 32 | -25.4% |
| Kentucky | $131 | $211 | 9 | 243 | -30.4% |
| Wisconsin | $128 | $702 | 5 | 81 | -32.3% |
| Minnesota | $124 | $315 | 8 | 92 | -34.4% |
| Alabama | $120 | $265 | 28 | 362 | -36.6% |
| Hawaii | $116 | $126 | 4 | 163 | -38.4% |
| Rhode Island | $114 | $182 | 7 | 15 | -39.4% |
| California | $114 | $247 | 80 | 2,188 | -39.6% |
| North Carolina | $106 | $357 | 38 | 295 | -44.0% |
| Tennessee | $96 | $213 | 21 | 962 | -49.1% |
| Indiana | $87 | $268 | 15 | 222 | -54.0% |
| Massachusetts | $81 | $290 | 59 | 796 | -56.9% |
| Missouri | $75 | $138 | 23 | 396 | -60.2% |
| Georgia | $68 | $135 | 4 | 51 | -64.0% |
| South Carolina | $40 | $104 | 21 | 490 | -78.9% |
| Washington | $40 | $184 | 15 | 143 | -79.0% |
| Oregon | $37 | $247 | 6 | 69 | -80.3% |
| North Dakota | $23 | $344 | 3 | 108 | -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.
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