50360

Transplantation of donor kidney

Medicare pricing data for 986 providers across 46 states

🤖AI Overview

This procedure has a 5.2x markup — hospitals charge $9,929 but Medicare allows only $1,926. Uninsured patients may face bills 5.2 times higher than what insurance negotiates. Prices vary significantly by location — from $608 in Delaware to $2,405 in New Hampshire. 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

Transplantation of donor kidney (HCPCS code 50360) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,926, but hospitals typically charge $9,929 — a 5.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$385.29

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,926, your out-of-pocket cost would be approximately $385.29. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,926
Average Hospital Charge
$9,929
Markup Ratio
5.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$9,928.84
Medicare Allowed$1,926.44
Medicare Payment$1,538.15

Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $1,538 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Hampshire$2,405$24,480214+24.8%
New Jersey$2,382$9,06417354+23.6%
Rhode Island$2,347$6,104319+21.8%
Nevada$2,317$13,176349+20.3%
District of Columbia$2,295$9,36610149+19.2%
Virginia$2,256$7,69023247+17.1%
New York$2,226$13,18067968+15.5%
Oregon$2,206$10,796799+14.5%
North Dakota$2,186$6,879335+13.5%
Mississippi$2,186$6,812366+13.5%
Maine$2,151$6,768319+11.7%
Michigan$2,124$10,64737410+10.3%
New Mexico$2,113$6,365446+9.7%
Louisiana$2,051$6,14919190+6.5%
Illinois$2,049$10,46445697+6.3%
Ohio$2,048$9,53638511+6.3%
Connecticut$2,047$10,7361290+6.3%
Washington$2,019$7,43226359+4.8%
Georgia$1,998$12,86633380+3.7%
California$1,980$9,574901,456+2.8%
Massachusetts$1,970$8,08437359+2.3%
Maryland$1,957$9,50923338+1.6%
Florida$1,928$7,56351691+0.1%
Missouri$1,902$9,30525301-1.3%
Nebraska$1,902$12,824457-1.3%
Minnesota$1,872$12,04922296-2.8%
South Carolina$1,852$16,22410268-3.9%
Iowa$1,838$9,42010140-4.6%
Indiana$1,824$10,4469142-5.3%
Kentucky$1,809$5,4271284-6.1%
Pennsylvania$1,787$9,02548565-7.2%
Texas$1,768$9,905811,106-8.2%
North Carolina$1,767$7,99029428-8.3%
Colorado$1,757$8,20519170-8.8%
Tennessee$1,745$7,85822413-9.4%
Arkansas$1,714$8,676666-11.0%
South Dakota$1,663$4,806734-13.7%
Utah$1,655$6,50114169-14.1%
Kansas$1,654$8,451325-14.1%
Alabama$1,636$9,3159100-15.1%
Arizona$1,588$10,75626558-17.6%
Wisconsin$1,544$16,07735435-19.9%
Oklahoma$1,454$7,96215174-24.5%
Puerto Rico$1,181$2,521428-38.7%
Hawaii$1,075$4,182531-44.2%
Delaware$608$10,4991012-68.4%

⚠️ 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