30901

Simple control of nose bleed

Medicare pricing data for 22,442 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $56 in Vermont to $137 in New Jersey. 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

Simple control of nose bleed (HCPCS code 30901) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $111.24, but hospitals typically charge $363.81 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$22.25

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $111.24, your out-of-pocket cost would be approximately $22.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$111.24
Average Hospital Charge
$363.81
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$363.81
Medicare Allowed$111.24
Medicare Payment$83.30

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $83.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$137$4457022,189+23.5%
Alaska$133$55281201+19.4%
New York$131$4751,2482,969+17.6%
Maryland$130$2913871,105+17.2%
California$129$3631,6694,417+15.9%
Georgia$126$3964761,181+13.3%
Virginia$123$3045641,674+10.7%
Washington$122$3794971,326+9.5%
Florida$120$3421,0592,848+8.1%
Mississippi$119$394123486+7.3%
Massachusetts$119$4177082,005+6.7%
North Carolina$119$3475841,538+6.5%
Louisiana$118$314260728+6.1%
Connecticut$117$368313768+4.8%
Tennessee$115$3553561,109+3.6%
Oregon$114$399309708+2.6%
Texas$113$3671,1312,702+1.8%
South Carolina$111$307370992+0.1%
Colorado$110$3596571,698-1.2%
Missouri$108$3044801,307-3.2%
Wyoming$108$33886253-3.3%
Arizona$106$3444991,294-4.6%
Indiana$106$3234581,131-4.8%
Utah$105$316298703-5.4%
Hawaii$105$3053248-5.4%
District of Columbia$105$2834180-5.9%
Oklahoma$104$310258626-6.1%
Alabama$104$241224542-6.7%
Kansas$102$277249737-7.9%
Nevada$102$392191386-8.1%
Arkansas$102$291174447-8.6%
Minnesota$100$4385261,034-9.8%
Pennsylvania$100$3031,4023,298-10.0%
Rhode Island$99$35586156-10.6%
Iowa$99$366338847-11.3%
Illinois$98$4451,1992,703-11.7%
Michigan$97$3249802,106-12.4%
Kentucky$96$301324695-13.4%
Delaware$95$33394196-14.7%
South Dakota$95$312112347-15.0%
Ohio$94$3209342,129-15.1%
Wisconsin$93$5856211,536-16.7%
Nebraska$93$321232602-16.8%
Idaho$92$278169469-17.3%
New Hampshire$90$364145395-18.9%
West Virginia$88$274133309-21.1%
Montana$87$273162390-21.7%
New Mexico$73$289156325-34.3%
Maine$65$244126219-41.2%
North Dakota$62$376118262-44.6%
Puerto Rico$58$3881112-48.0%
Vermont$56$32673163-49.5%

⚠️ 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