Drainage of fluid collection of abdominal cavity by tube using imaging guidance
Medicare pricing data for 6,043 providers across 52 states
This procedure has a 8.7x markup — hospitals charge $1,616 but Medicare allows only $184.75. Uninsured patients may face bills 8.7 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
Drainage of fluid collection of abdominal cavity by tube using imaging guidance (HCPCS code 49406) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $184.75, but hospitals typically charge $1,616 — a 8.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $184.75, your out-of-pocket cost would be approximately $36.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 8.7x more than what Medicare allows for this procedure. Medicare actually pays $146.12 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $240 | $3,235 | 13 | 48 | +29.8% |
| New York | $207 | $2,285 | 336 | 1,635 | +12.1% |
| District of Columbia | $198 | $1,209 | 23 | 123 | +7.0% |
| New Jersey | $197 | $1,249 | 149 | 766 | +6.8% |
| Maryland | $191 | $913 | 92 | 621 | +3.6% |
| California | $191 | $1,830 | 543 | 2,547 | +3.5% |
| Illinois | $191 | $1,737 | 240 | 1,234 | +3.3% |
| Connecticut | $190 | $1,967 | 76 | 271 | +2.6% |
| Florida | $188 | $2,004 | 418 | 1,871 | +2.0% |
| Delaware | $187 | $579 | 23 | 130 | +1.4% |
| Massachusetts | $187 | $1,107 | 159 | 929 | +1.0% |
| Montana | $186 | $1,047 | 24 | 81 | +0.4% |
| Wyoming | $185 | $828 | 12 | 44 | +0.1% |
| Pennsylvania | $185 | $1,364 | 289 | 1,606 | -0.1% |
| Nevada | $184 | $1,987 | 52 | 225 | -0.2% |
| Colorado | $184 | $1,341 | 118 | 523 | -0.6% |
| Michigan | $184 | $982 | 194 | 738 | -0.6% |
| Virginia | $183 | $1,111 | 175 | 776 | -1.0% |
| Washington | $183 | $915 | 119 | 600 | -1.1% |
| New Mexico | $182 | $1,409 | 33 | 163 | -1.2% |
| Puerto Rico | $182 | $838 | 12 | 37 | -1.3% |
| Texas | $182 | $1,923 | 444 | 2,094 | -1.4% |
| Hawaii | $182 | $922 | 14 | 33 | -1.4% |
| Vermont | $182 | $4,234 | 15 | 77 | -1.7% |
| New Hampshire | $181 | $2,516 | 27 | 172 | -2.1% |
| Georgia | $180 | $1,842 | 172 | 633 | -2.4% |
| Louisiana | $180 | $1,487 | 85 | 367 | -2.5% |
| Rhode Island | $180 | $2,043 | 33 | 121 | -2.6% |
| Oregon | $179 | $952 | 84 | 359 | -3.0% |
| West Virginia | $179 | $840 | 36 | 213 | -3.1% |
| Ohio | $178 | $1,324 | 235 | 1,019 | -3.5% |
| Missouri | $178 | $1,305 | 127 | 664 | -3.6% |
| Minnesota | $178 | $1,777 | 144 | 574 | -3.7% |
| South Carolina | $178 | $1,286 | 89 | 486 | -3.7% |
| Utah | $178 | $800 | 53 | 249 | -3.8% |
| Arizona | $177 | $2,353 | 118 | 581 | -4.1% |
| Alabama | $177 | $1,424 | 94 | 321 | -4.3% |
| North Carolina | $175 | $1,477 | 231 | 884 | -5.3% |
| Indiana | $175 | $1,582 | 127 | 544 | -5.4% |
| Kansas | $175 | $1,026 | 52 | 309 | -5.4% |
| Kentucky | $174 | $1,441 | 79 | 351 | -5.8% |
| Tennessee | $174 | $1,306 | 139 | 660 | -5.9% |
| Mississippi | $173 | $1,380 | 48 | 255 | -6.1% |
| Oklahoma | $173 | $1,082 | 66 | 409 | -6.2% |
| North Dakota | $173 | $2,169 | 18 | 96 | -6.5% |
| Idaho | $172 | $1,211 | 35 | 166 | -6.9% |
| Maine | $172 | $833 | 33 | 98 | -6.9% |
| Iowa | $171 | $1,619 | 50 | 282 | -7.4% |
| Wisconsin | $170 | $3,258 | 143 | 651 | -8.2% |
| South Dakota | $169 | $1,422 | 17 | 160 | -8.4% |
| Nebraska | $168 | $1,844 | 34 | 293 | -9.1% |
| Arkansas | $167 | $1,851 | 57 | 297 | -9.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber