Q0509

Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a

Medicare pricing data for 8 providers across 5 states

🤖AI Overview

Prices vary significantly by location — from $41 in Ohio to $2,262 in Indiana. Where you get this procedure matters more than almost any other factor. 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

Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a (HCPCS code Q0509) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,596, but hospitals typically charge $1,728 — a 1.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$319.16

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,596, your out-of-pocket cost would be approximately $319.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,596
Average Hospital Charge
$1,728
Markup Ratio
1.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,727.68
Medicare Allowed$1,595.78
Medicare Payment$1,268.35

Hospitals charge 1.1x more than what Medicare allows for this procedure. Medicare actually pays $1,268 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Indiana$2,262$2,3201768+41.8%
Florida$1,910$1,98323,406+19.7%
Tennessee$1,603$2,03711,536+0.5%
California$1,056$1,07511,042-33.8%
Ohio$41$411649-97.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber

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