32550

Insertion of indwelling tube for drainage of lung fluid

Medicare pricing data for 4,863 providers across 50 states

🤖AI Overview

This procedure has a 8.0x markup — hospitals charge $1,647 but Medicare allows only $204.69. Uninsured patients may face bills 8.0 times higher than what insurance negotiates. 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

Insertion of indwelling tube for drainage of lung fluid (HCPCS code 32550) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $204.69, but hospitals typically charge $1,647 — a 8.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$40.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $204.69, your out-of-pocket cost would be approximately $40.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$204.69
Average Hospital Charge
$1,647
Markup Ratio
8.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,646.93
Medicare Allowed$204.69
Medicare Payment$162.57

Hospitals charge 8.0x more than what Medicare allows for this procedure. Medicare actually pays $162.57 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$350$3,0581427+71.0%
Arkansas$271$1,85955134+32.4%
Washington$246$1,16395198+20.4%
New York$224$2,318269946+9.3%
Vermont$219$1,991928+7.2%
Wisconsin$217$2,759112260+6.0%
District of Columbia$216$1,1612266+5.4%
Nebraska$212$1,67142128+3.8%
New Jersey$212$1,554144452+3.5%
Connecticut$212$2,03074233+3.5%
California$211$1,6294301,271+2.9%
Illinois$211$1,796215690+2.8%
Maryland$209$1,33582313+2.3%
Florida$208$1,7454001,270+1.8%
Massachusetts$208$1,362132514+1.7%
Montana$204$1,8621528-0.4%
Rhode Island$203$1,8151327-0.7%
Pennsylvania$202$1,364251664-1.1%
Hawaii$202$6781517-1.1%
Michigan$202$994137302-1.2%
Nevada$202$2,4614095-1.4%
Delaware$201$1,5021474-1.7%
New Mexico$201$1,9831928-2.0%
Texas$198$2,192347934-3.2%
Oregon$198$9254891-3.2%
New Hampshire$197$1,4403374-3.9%
Colorado$196$1,71670145-4.0%
Louisiana$196$1,44770156-4.0%
Ohio$196$1,100218563-4.1%
West Virginia$196$7363574-4.4%
Arizona$195$1,89086212-4.8%
Virginia$194$1,070127319-5.0%
North Dakota$194$2,4771846-5.3%
Georgia$194$1,770114307-5.4%
Missouri$194$1,617116278-5.5%
Minnesota$193$1,77575178-5.9%
South Carolina$192$1,84385248-6.3%
Utah$192$9803256-6.4%
Kentucky$191$96569182-6.6%
Alabama$191$89460125-6.9%
South Dakota$190$1,5461563-7.2%
North Carolina$189$1,697151391-7.5%
Kansas$189$1,06759146-7.6%
Maine$189$7561728-7.9%
Tennessee$188$1,452111265-8.2%
Indiana$188$1,385127290-8.2%
Mississippi$188$1,65557159-8.4%
Idaho$183$1,4362556-10.6%
Iowa$183$1,2583461-10.7%
Oklahoma$182$96350138-11.1%

⚠️ 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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