Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services
Medicare pricing data for 1,038 providers across 31 states
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
Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services (HCPCS code M0010) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $71.77, but hospitals typically charge $100.48 — a 1.4x 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 $71.77, your out-of-pocket cost would be approximately $14.35. 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 1.4x more than what Medicare allows for this procedure. Medicare actually pays $71.77 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $79 | $107 | 66 | 4,025 | +10.2% |
| West Virginia | $77 | $72 | 5 | 440 | +6.8% |
| Mississippi | $75 | $70 | 3 | 241 | +4.2% |
| Nevada | $73 | $169 | 5 | 563 | +1.9% |
| Michigan | $73 | $98 | 47 | 4,192 | +1.6% |
| Kentucky | $73 | $100 | 3 | 97 | +1.1% |
| Alabama | $72 | $70 | 2 | 1,141 | +0.9% |
| Maryland | $72 | $130 | 7 | 109 | +0.8% |
| Georgia | $72 | $168 | 17 | 2,396 | +0.6% |
| Oregon | $72 | $70 | 32 | 1,237 | +0.6% |
| Idaho | $72 | $210 | 2 | 242 | +0.5% |
| Colorado | $72 | $70 | 43 | 3,465 | +0.3% |
| Louisiana | $72 | $208 | 5 | 816 | 0.0% |
| North Carolina | $72 | $192 | 40 | 3,697 | -0.1% |
| Tennessee | $72 | $70 | 124 | 12,241 | -0.3% |
| Iowa | $72 | $210 | 1 | 213 | -0.4% |
| Missouri | $71 | $199 | 10 | 783 | -0.4% |
| Arkansas | $71 | $199 | 18 | 1,542 | -0.5% |
| Florida | $71 | $79 | 43 | 2,306 | -0.5% |
| Illinois | $71 | $70 | 23 | 2,159 | -0.5% |
| Minnesota | $71 | $70 | 34 | 1,698 | -0.8% |
| Connecticut | $71 | $70 | 2 | 210 | -0.9% |
| Washington | $71 | $137 | 29 | 2,837 | -1.0% |
| Ohio | $71 | $198 | 15 | 1,333 | -1.0% |
| New Jersey | $71 | $89 | 5 | 241 | -1.0% |
| Texas | $71 | $74 | 265 | 9,023 | -1.3% |
| Arizona | $71 | $103 | 71 | 6,511 | -1.3% |
| Virginia | $71 | $79 | 91 | 8,662 | -1.7% |
| Indiana | $70 | $210 | 7 | 835 | -2.3% |
| South Carolina | $70 | $74 | 4 | 2,242 | -2.3% |
| Pennsylvania | $70 | $70 | 5 | 926 | -2.5% |
⚠️ 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