A7048

Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each

Medicare pricing data for 16 providers across 5 states

🤖AI Overview

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

Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each (HCPCS code A7048) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $55.14, but hospitals typically charge $213.57 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.03

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $55.14, your out-of-pocket cost would be approximately $11.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$55.14
Average Hospital Charge
$213.57
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$213.57
Medicare Allowed$55.14
Medicare Payment$43.77

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $43.77 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$56$85115,124+1.0%
Ohio$55$268299,733+0.5%
Washington$54$7511,862-2.0%
Pennsylvania$54$7632,545-2.5%
Arizona$54$61118,979-2.8%

⚠️ 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