Quantitation of therapeutic drug
Medicare pricing data for 233 providers across 36 states
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
Quantitation of therapeutic drug (HCPCS code 80299) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.24, but hospitals typically charge $90.85 — a 5.0x 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 $18.24, your out-of-pocket cost would be approximately $3.65. 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 5.0x more than what Medicare allows for this procedure. Medicare actually pays $18.24 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $18 | $166 | 2 | 631 | +0.2% |
| Indiana | $18 | $227 | 1 | 17 | +0.2% |
| Kansas | $18 | $168 | 7 | 495 | +0.2% |
| Kentucky | $18 | $88 | 3 | 56 | +0.2% |
| Maine | $18 | $200 | 1 | 23 | +0.2% |
| Maryland | $18 | $151 | 3 | 322 | +0.2% |
| Michigan | $18 | $85 | 6 | 16 | +0.2% |
| Mississippi | $18 | $74 | 4 | 11 | +0.2% |
| Nevada | $18 | $94 | 2 | 488 | +0.2% |
| New Mexico | $18 | $136 | 2 | 15 | +0.2% |
| New York | $18 | $840 | 6 | 279 | +0.2% |
| North Dakota | $18 | $93 | 5 | 12 | +0.2% |
| Ohio | $18 | $177 | 7 | 146 | +0.2% |
| Oklahoma | $18 | $40 | 4 | 533 | +0.2% |
| Oregon | $18 | $99 | 4 | 34 | +0.2% |
| Pennsylvania | $18 | $195 | 8 | 375 | +0.2% |
| South Carolina | $18 | $64 | 3 | 11 | +0.2% |
| Tennessee | $18 | $173 | 4 | 205 | +0.2% |
| Texas | $18 | $193 | 14 | 1,790 | +0.2% |
| Utah | $18 | $90 | 5 | 46 | +0.2% |
| Virginia | $18 | $124 | 9 | 200 | +0.2% |
| Arizona | $18 | $160 | 4 | 601 | +0.2% |
| Colorado | $18 | $204 | 5 | 249 | +0.2% |
| Florida | $18 | $156 | 9 | 1,964 | +0.1% |
| New Jersey | $18 | $175 | 11 | 2,952 | +0.1% |
| North Carolina | $18 | $176 | 10 | 3,955 | +0.1% |
| Massachusetts | $18 | $170 | 7 | 954 | +0.1% |
| Alabama | $18 | $115 | 7 | 818 | +0.1% |
| Illinois | $18 | $168 | 8 | 483 | 0.0% |
| California | $18 | $50 | 29 | 37,997 | -0.1% |
| Wisconsin | $18 | $153 | 7 | 343 | -0.1% |
| Minnesota | $18 | $176 | 8 | 381 | -0.4% |
| Louisiana | $18 | $170 | 3 | 29 | -0.4% |
| Washington | $18 | $189 | 6 | 312 | -0.9% |
| Hawaii | $18 | $155 | 2 | 64 | -1.9% |
| South Dakota | $18 | $140 | 4 | 22 | -2.8% |
⚠️ 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