0599T

Fluorescence wound imaging for bacteria, each additional anatomic site

Medicare pricing data for 128 providers across 16 states

🤖AI Overview

Prices vary significantly by location — from $11 in Illinois to $108 in New York. 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

Fluorescence wound imaging for bacteria, each additional anatomic site (HCPCS code 0599T) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $80.44, but hospitals typically charge $256.38 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.09

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $80.44, your out-of-pocket cost would be approximately $16.09. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$80.44
Average Hospital Charge
$256.38
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$256.38
Medicare Allowed$80.44
Medicare Payment$63.90

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $63.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$108$3153112+34.3%
New Jersey$104$308373,249+29.1%
Ohio$104$3102622+28.8%
Maryland$103$310126+28.6%
Pennsylvania$95$736745+18.0%
Florida$92$14421561+14.4%
Louisiana$90$163339+11.3%
Oklahoma$78$166427-3.2%
Mississippi$75$1144396-6.3%
North Carolina$73$4088205-8.7%
Texas$64$317420-20.4%
Indiana$35$252484-56.6%
Georgia$31$145262-61.5%
Missouri$30$156201,585-62.5%
Kansas$30$1465230-62.8%
Illinois$11$112115-85.9%

⚠️ 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