C2640

Brachytherapy source, stranded, palladium-103, per source

Medicare pricing data for 13 providers across 3 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, palladium-103, per source (HCPCS code C2640) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $82.80, but hospitals typically charge $131.99 — a 1.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.56

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $82.80, your out-of-pocket cost would be approximately $16.56. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$82.80
Average Hospital Charge
$131.99
Markup Ratio
1.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$131.99
Medicare Allowed$82.80
Medicare Payment$65.96

Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $65.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$85$1531894+3.2%
California$85$11251,351+2.6%
Texas$79$8511,594-4.0%

⚠️ 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