Transplantation of donor kidney
Medicare pricing data for 986 providers across 46 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Hampshire | $2,405 | $24,480 | 2 | 14 | +24.8% |
| New Jersey | $2,382 | $9,064 | 17 | 354 | +23.6% |
| Rhode Island | $2,347 | $6,104 | 3 | 19 | +21.8% |
| Nevada | $2,317 | $13,176 | 3 | 49 | +20.3% |
| District of Columbia | $2,295 | $9,366 | 10 | 149 | +19.2% |
| Virginia | $2,256 | $7,690 | 23 | 247 | +17.1% |
| New York | $2,226 | $13,180 | 67 | 968 | +15.5% |
| Oregon | $2,206 | $10,796 | 7 | 99 | +14.5% |
| North Dakota | $2,186 | $6,879 | 3 | 35 | +13.5% |
| Mississippi | $2,186 | $6,812 | 3 | 66 | +13.5% |
| Maine | $2,151 | $6,768 | 3 | 19 | +11.7% |
| Michigan | $2,124 | $10,647 | 37 | 410 | +10.3% |
| New Mexico | $2,113 | $6,365 | 4 | 46 | +9.7% |
| Louisiana | $2,051 | $6,149 | 19 | 190 | +6.5% |
| Illinois | $2,049 | $10,464 | 45 | 697 | +6.3% |
| Ohio | $2,048 | $9,536 | 38 | 511 | +6.3% |
| Connecticut | $2,047 | $10,736 | 12 | 90 | +6.3% |
| Washington | $2,019 | $7,432 | 26 | 359 | +4.8% |
| Georgia | $1,998 | $12,866 | 33 | 380 | +3.7% |
| California | $1,980 | $9,574 | 90 | 1,456 | +2.8% |
| Massachusetts | $1,970 | $8,084 | 37 | 359 | +2.3% |
| Maryland | $1,957 | $9,509 | 23 | 338 | +1.6% |
| Florida | $1,928 | $7,563 | 51 | 691 | +0.1% |
| Missouri | $1,902 | $9,305 | 25 | 301 | -1.3% |
| Nebraska | $1,902 | $12,824 | 4 | 57 | -1.3% |
| Minnesota | $1,872 | $12,049 | 22 | 296 | -2.8% |
| South Carolina | $1,852 | $16,224 | 10 | 268 | -3.9% |
| Iowa | $1,838 | $9,420 | 10 | 140 | -4.6% |
| Indiana | $1,824 | $10,446 | 9 | 142 | -5.3% |
| Kentucky | $1,809 | $5,427 | 12 | 84 | -6.1% |
| Pennsylvania | $1,787 | $9,025 | 48 | 565 | -7.2% |
| Texas | $1,768 | $9,905 | 81 | 1,106 | -8.2% |
| North Carolina | $1,767 | $7,990 | 29 | 428 | -8.3% |
| Colorado | $1,757 | $8,205 | 19 | 170 | -8.8% |
| Tennessee | $1,745 | $7,858 | 22 | 413 | -9.4% |
| Arkansas | $1,714 | $8,676 | 6 | 66 | -11.0% |
| South Dakota | $1,663 | $4,806 | 7 | 34 | -13.7% |
| Utah | $1,655 | $6,501 | 14 | 169 | -14.1% |
| Kansas | $1,654 | $8,451 | 3 | 25 | -14.1% |
| Alabama | $1,636 | $9,315 | 9 | 100 | -15.1% |
| Arizona | $1,588 | $10,756 | 26 | 558 | -17.6% |
| Wisconsin | $1,544 | $16,077 | 35 | 435 | -19.9% |
| Oklahoma | $1,454 | $7,962 | 15 | 174 | -24.5% |
| Puerto Rico | $1,181 | $2,521 | 4 | 28 | -38.7% |
| Hawaii | $1,075 | $4,182 | 5 | 31 | -44.2% |
| Delaware | $608 | $10,499 | 10 | 12 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber