Unclassified biologics
Medicare pricing data for 2,066 providers across 44 states
Prices vary significantly by location — from $19 in Wisconsin to $4,535 in Maine. 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
Unclassified biologics (HCPCS code J3590) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $278.16, but hospitals typically charge $670.90 — 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 $278.16, your out-of-pocket cost would be approximately $55.63. 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 $220.70 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maine | $4,535 | $11,325 | 10 | 26 | +1530.5% |
| Mississippi | $3,825 | $9,653 | 18 | 147 | +1275.3% |
| Colorado | $3,584 | $8,600 | 37 | 352 | +1188.6% |
| North Carolina | $3,170 | $8,944 | 37 | 597 | +1039.7% |
| Alabama | $3,057 | $8,562 | 3 | 32 | +999.1% |
| New Jersey | $2,862 | $6,063 | 69 | 1,970 | +928.9% |
| New Hampshire | $2,786 | $3,899 | 8 | 217 | +901.7% |
| Virginia | $2,769 | $6,522 | 29 | 891 | +895.4% |
| Georgia | $2,755 | $7,032 | 33 | 257 | +890.5% |
| Hawaii | $2,660 | $5,300 | 2 | 15 | +856.5% |
| District of Columbia | $2,656 | $9,100 | 1 | 28 | +854.9% |
| Nevada | $2,615 | $4,863 | 9 | 360 | +840.1% |
| Massachusetts | $2,615 | $5,163 | 35 | 332 | +840.0% |
| Pennsylvania | $2,606 | $5,728 | 63 | 696 | +837.0% |
| Connecticut | $2,542 | $4,111 | 12 | 420 | +813.8% |
| Arkansas | $2,245 | $5,177 | 12 | 122 | +707.1% |
| South Carolina | $2,115 | $3,066 | 14 | 209 | +660.3% |
| Texas | $2,037 | $6,082 | 147 | 4,339 | +632.2% |
| New Mexico | $1,923 | $3,124 | 15 | 463 | +591.4% |
| North Dakota | $1,912 | $2,441 | 5 | 32 | +587.3% |
| Maryland | $1,850 | $4,509 | 58 | 2,359 | +565.2% |
| New York | $1,703 | $3,683 | 100 | 1,837 | +512.1% |
| South Dakota | $1,645 | $1,933 | 7 | 257 | +491.2% |
| Illinois | $1,273 | $2,673 | 63 | 1,386 | +357.5% |
| Oregon | $1,199 | $2,474 | 19 | 230 | +331.0% |
| Tennessee | $722 | $1,980 | 48 | 1,059 | +159.4% |
| Florida | $695 | $2,146 | 284 | 8,842 | +149.8% |
| Idaho | $638 | $1,136 | 6 | 46 | +129.4% |
| Louisiana | $512 | $1,197 | 14 | 1,916 | +84.0% |
| Washington | $490 | $1,161 | 25 | 643 | +76.2% |
| Arizona | $408 | $1,262 | 27 | 816 | +46.8% |
| Minnesota | $255 | $600 | 49 | 4,258 | -8.4% |
| Missouri | $251 | $569 | 60 | 3,618 | -9.9% |
| Iowa | $148 | $248 | 42 | 9,089 | -46.7% |
| Michigan | $128 | $301 | 135 | 20,226 | -53.9% |
| Kansas | $126 | $414 | 27 | 5,214 | -54.8% |
| Ohio | $124 | $334 | 147 | 32,980 | -55.4% |
| Nebraska | $91 | $183 | 23 | 6,293 | -67.5% |
| Indiana | $87 | $152 | 58 | 20,529 | -68.8% |
| Rhode Island | $86 | $114 | 6 | 618 | -69.0% |
| Kentucky | $79 | $163 | 68 | 11,111 | -71.5% |
| Utah | $63 | $79 | 17 | 1,623 | -77.3% |
| California | $57 | $117 | 202 | 70,935 | -79.6% |
| Wisconsin | $19 | $39 | 8 | 12,557 | -93.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber