0598T

Fluorescence wound imaging for bacteria, first anatomic site

Medicare pricing data for 331 providers across 23 states

🤖AI Overview

Prices vary significantly by location — from $23 in Illinois to $190 in District of Columbia. 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

Fluorescence wound imaging for bacteria, first anatomic site (HCPCS code 0598T) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $125.24, but hospitals typically charge $427.25 — a 3.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$25.05

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $125.24, your out-of-pocket cost would be approximately $25.05. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$125.24
Average Hospital Charge
$427.25
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$427.25
Medicare Allowed$125.24
Medicare Payment$99.17

Hospitals charge 3.4x more than what Medicare allows for this procedure. Medicare actually pays $99.17 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$190$975115+51.5%
Colorado$161$298231+28.9%
Maryland$156$4605331+24.4%
Ohio$156$46741,993+24.3%
New Jersey$154$4639219,128+23.3%
New York$153$4876732+21.9%
Pennsylvania$148$97010151+18.4%
Alabama$147$2127560+17.8%
Virginia$147$5003868+17.6%
Texas$147$51318747+17.1%
North Carolina$146$42914946+16.4%
Florida$137$690445,380+9.3%
Tennessee$136$38113629+8.7%
Louisiana$135$1805576+7.6%
Oklahoma$118$3668446-5.8%
Mississippi$114$22851,052-9.0%
Georgia$113$2668565-10.1%
Indiana$60$2477864-52.1%
Missouri$52$261388,326-58.4%
Iowa$52$257161-58.6%
Kansas$52$232221,293-58.7%
Connecticut$27$891115-78.6%
Illinois$23$225165-81.9%

⚠️ 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