C2638

Brachytherapy source, stranded, iodine-125, per source

Medicare pricing data for 15 providers across 4 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

Brachytherapy source, stranded, iodine-125, per source (HCPCS code C2638) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.68, but hospitals typically charge $121.04 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $36.68, your out-of-pocket cost would be approximately $7.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$36.68
Average Hospital Charge
$121.04
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$121.04
Medicare Allowed$36.68
Medicare Payment$29.21

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $29.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Ohio$38$4611,616+2.3%
Illinois$37$11223,053+0.5%
Mississippi$37$15415,268+0.3%
Florida$36$14142,399-1.6%

⚠️ 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