30903

Complex control of nose bleed

Medicare pricing data for 16,488 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $74 in Hawaii to $209 in New York. 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

Complex control of nose bleed (HCPCS code 30903) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $147.35, but hospitals typically charge $592.43 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$29.47

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $147.35, your out-of-pocket cost would be approximately $29.47. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$147.35
Average Hospital Charge
$592.43
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$592.43
Medicare Allowed$147.35
Medicare Payment$113.60

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $113.60 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$209$8199642,316+42.0%
New Jersey$199$6505951,578+35.3%
Connecticut$194$591217557+31.5%
California$174$5851,3732,926+18.3%
Delaware$168$542108325+13.7%
Maryland$163$556320620+10.6%
Louisiana$162$625195370+10.0%
Alaska$161$8415397+9.4%
Florida$159$5837911,529+8.0%
Missouri$154$524315586+4.2%
Oregon$149$571159287+1.3%
Colorado$147$581381707-0.3%
Georgia$147$646346557-0.5%
Massachusetts$146$5535461,021-0.8%
Washington$144$577353630-1.9%
District of Columbia$143$5483047-2.7%
Alabama$143$441196332-3.0%
North Carolina$142$5145811,047-3.3%
Nebraska$141$51496176-4.6%
Arkansas$140$502130263-5.0%
South Carolina$139$487263456-5.7%
Pennsylvania$139$4761,0081,900-5.9%
Illinois$138$6007371,479-6.2%
Texas$137$6127511,147-7.0%
Arizona$134$539383879-9.2%
Tennessee$133$590330577-9.9%
Virginia$130$516476762-12.0%
Wyoming$127$56756127-13.9%
Michigan$125$5317481,298-15.4%
Montana$124$42187207-16.2%
Mississippi$123$721119211-16.5%
Utah$121$496186304-17.8%
Iowa$120$651179317-18.6%
Kentucky$120$559255408-18.9%
South Dakota$118$59965134-19.8%
Kansas$113$615136218-23.6%
Indiana$111$623458755-24.3%
West Virginia$110$60480115-25.2%
Ohio$109$5688301,293-26.3%
Nevada$106$610153249-28.1%
Wisconsin$104$844350541-29.3%
Oklahoma$102$593220331-30.5%
Idaho$99$46898182-32.7%
Minnesota$99$612333485-32.8%
New Hampshire$99$51191148-33.0%
Rhode Island$80$5516994-45.9%
New Mexico$76$70796175-48.2%
Vermont$75$4781621-49.1%
Maine$75$4284158-49.3%
North Dakota$74$7885095-49.7%
Hawaii$74$5521821-49.8%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber