Insertion of stomach tube using fluoroscopic guidance with contrast
Medicare pricing data for 4,401 providers across 50 states
This procedure has a 9.2x markup — hospitals charge $1,860 but Medicare allows only $201.49. Uninsured patients may face bills 9.2 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 stomach tube using fluoroscopic guidance with contrast (HCPCS code 49440) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $201.49, but hospitals typically charge $1,860 — a 9.2x 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 $201.49, your out-of-pocket cost would be approximately $40.30. 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 9.2x more than what Medicare allows for this procedure. Medicare actually pays $159.55 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $255 | $1,838 | 7 | 55 | +26.3% |
| New York | $252 | $1,991 | 248 | 859 | +25.2% |
| Arizona | $238 | $2,459 | 85 | 449 | +18.1% |
| Arkansas | $220 | $1,760 | 43 | 176 | +9.2% |
| California | $210 | $2,227 | 477 | 2,155 | +4.1% |
| District of Columbia | $206 | $1,810 | 20 | 124 | +2.5% |
| Maryland | $205 | $1,525 | 81 | 473 | +1.6% |
| New Jersey | $202 | $2,442 | 100 | 259 | +0.3% |
| Rhode Island | $202 | $1,880 | 16 | 36 | +0.2% |
| Illinois | $202 | $1,929 | 182 | 757 | +0.1% |
| Connecticut | $202 | $2,776 | 59 | 260 | +0.0% |
| Massachusetts | $201 | $1,237 | 131 | 599 | -0.2% |
| Florida | $200 | $2,185 | 375 | 1,830 | -0.7% |
| Montana | $200 | $1,187 | 16 | 28 | -0.9% |
| Delaware | $197 | $616 | 17 | 78 | -2.1% |
| Texas | $197 | $2,226 | 359 | 1,648 | -2.3% |
| Pennsylvania | $197 | $1,325 | 216 | 781 | -2.4% |
| Tennessee | $196 | $1,542 | 95 | 470 | -2.6% |
| Michigan | $196 | $867 | 153 | 568 | -2.7% |
| Hawaii | $196 | $946 | 18 | 84 | -2.9% |
| Washington | $195 | $1,060 | 117 | 591 | -3.2% |
| Colorado | $195 | $1,148 | 78 | 268 | -3.3% |
| Georgia | $194 | $2,203 | 94 | 485 | -3.7% |
| Virginia | $193 | $1,472 | 119 | 535 | -4.0% |
| New Mexico | $193 | $1,546 | 25 | 105 | -4.1% |
| Nevada | $192 | $1,820 | 28 | 82 | -4.7% |
| Missouri | $190 | $1,929 | 91 | 436 | -5.7% |
| Louisiana | $190 | $1,565 | 42 | 164 | -5.9% |
| Oregon | $189 | $1,232 | 61 | 151 | -6.1% |
| North Dakota | $189 | $2,073 | 17 | 63 | -6.4% |
| West Virginia | $188 | $810 | 15 | 66 | -6.5% |
| Minnesota | $188 | $1,763 | 86 | 427 | -6.6% |
| Vermont | $188 | $3,111 | 12 | 38 | -6.9% |
| Ohio | $187 | $1,550 | 137 | 339 | -7.0% |
| South Carolina | $187 | $1,527 | 51 | 241 | -7.2% |
| Nebraska | $187 | $2,487 | 29 | 161 | -7.3% |
| Oklahoma | $187 | $816 | 36 | 135 | -7.4% |
| North Carolina | $186 | $2,023 | 124 | 574 | -7.5% |
| Wisconsin | $186 | $3,801 | 92 | 311 | -7.9% |
| Maine | $185 | $1,233 | 20 | 40 | -8.1% |
| Kansas | $185 | $700 | 21 | 153 | -8.3% |
| New Hampshire | $185 | $2,232 | 17 | 101 | -8.4% |
| Idaho | $183 | $923 | 23 | 138 | -9.0% |
| Mississippi | $183 | $1,538 | 38 | 197 | -9.0% |
| Utah | $183 | $1,072 | 40 | 95 | -9.1% |
| Alabama | $182 | $1,277 | 51 | 147 | -9.8% |
| Indiana | $182 | $1,893 | 93 | 448 | -9.9% |
| Iowa | $178 | $1,448 | 29 | 135 | -11.8% |
| Kentucky | $177 | $1,617 | 42 | 141 | -12.1% |
| South Dakota | $161 | $1,672 | 24 | 91 | -19.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber