C9088

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg

Medicare pricing data for 109 providers across 25 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

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg (HCPCS code C9088) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $0.69, but hospitals typically charge $3.20 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $0.69, your out-of-pocket cost would be approximately $0.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$0.69
Average Hospital Charge
$3.20
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3.20
Medicare Allowed$0.69
Medicare Payment$0.55

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $0.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Louisiana$1$1450,352+2.9%
Tennessee$1$123,200+2.9%
Alabama$1$313,808+2.9%
Montana$1$1332,805+1.4%
Nevada$1$35124,403+1.4%
Ohio$1$3351,200+1.4%
Illinois$1$2126,4000.0%
Maryland$1$2612,3170.0%
Michigan$1$21581,2440.0%
North Dakota$1$3234,2010.0%
Oregon$1$5353,0030.0%
Texas$1$31534,4770.0%
Alaska$1$214,8000.0%
California$1$210111,2880.0%
Missouri$1$128,936-1.4%
New Jersey$1$114,600-1.4%
New Mexico$1$1136,002-1.4%
New York$1$2229,802-1.4%
Washington$1$2112,000-1.4%
Colorado$1$4326,133-1.4%
Florida$1$21863,354-2.9%
South Carolina$1$1121,600-2.9%
North Carolina$1$116,006-5.8%
Minnesota$1$113,803-7.2%
Georgia$1$1418,801-8.7%

⚠️ 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