J9057

Injection, copanlisib, 1 mg

Medicare pricing data for 44 providers across 0 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

Injection, copanlisib, 1 mg (HCPCS code J9057) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $70.69, but hospitals typically charge $185.99 — a 2.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $70.69, your out-of-pocket cost would be approximately $14.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$70.69
Average Hospital Charge
$185.99
Markup Ratio
2.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$185.99
Medicare Allowed$70.69
Medicare Payment$56.31

Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $56.31 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National

⚠️ 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