57150

Irrigation of vagina and/or application of drug to treat infection

Medicare pricing data for 1,286 providers across 37 states

🤖AI Overview

Prices vary significantly by location — from $19 in Delaware to $64 in District of Columbia. 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

Irrigation of vagina and/or application of drug to treat infection (HCPCS code 57150) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $53.88, but hospitals typically charge $148.71 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.78

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $53.88, your out-of-pocket cost would be approximately $10.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$53.88
Average Hospital Charge
$148.71
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$148.71
Medicare Allowed$53.88
Medicare Payment$39.16

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $39.16 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$64$176328+19.5%
New Jersey$62$180981,759+14.2%
New York$61$2012152,745+13.8%
Maryland$61$12319379+12.8%
Washington$60$199585+10.6%
Connecticut$59$16020137+9.1%
Virginia$58$15919275+7.6%
California$58$1301131,745+7.2%
Colorado$56$1057115+4.0%
Michigan$55$11641369+1.7%
Florida$54$1441572,744+1.1%
Nevada$54$191750+0.8%
South Carolina$54$981481+0.5%
Illinois$54$15226748+0.5%
West Virginia$53$63236-0.8%
North Carolina$53$13934149-1.0%
Oregon$53$1361656-2.2%
Texas$52$12175608-3.0%
Georgia$51$13326235-4.5%
Louisiana$51$1321298-4.8%
Vermont$51$53224-6.2%
Arizona$50$11112292-7.0%
New Mexico$50$13117268-7.4%
Tennessee$48$14230252-10.4%
Minnesota$48$185631-10.5%
Ohio$48$10731873-11.5%
Missouri$47$152562-13.0%
Puerto Rico$47$50812-13.4%
Arkansas$46$12626265-13.8%
Massachusetts$46$162801,086-14.1%
Kentucky$45$11614103-16.4%
Oklahoma$44$176662-18.7%
Indiana$40$14317206-25.7%
Pennsylvania$39$10540702-27.8%
Alabama$38$10926353-29.8%
South Dakota$19$54488-63.8%
Delaware$19$84322-65.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber