Follow-up inpatient or observation ventilation assistance and management
Medicare pricing data for 488 providers across 25 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
Follow-up inpatient or observation ventilation assistance and management (HCPCS code 94003) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.40, but hospitals typically charge $190.24 — a 2.9x 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 $65.40, your out-of-pocket cost would be approximately $13.08. 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 2.9x more than what Medicare allows for this procedure. Medicare actually pays $51.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $73 | $166 | 23 | 678 | +10.9% |
| District of Columbia | $69 | $176 | 6 | 1,018 | +6.0% |
| New Jersey | $68 | $111 | 13 | 734 | +4.0% |
| Massachusetts | $67 | $266 | 12 | 518 | +2.8% |
| Illinois | $67 | $261 | 42 | 5,454 | +2.5% |
| Maryland | $67 | $170 | 13 | 74 | +2.5% |
| Florida | $66 | $137 | 35 | 1,272 | +0.2% |
| Michigan | $65 | $125 | 30 | 1,681 | -1.1% |
| Pennsylvania | $64 | $111 | 18 | 2,367 | -1.5% |
| California | $64 | $225 | 29 | 111 | -2.5% |
| Arizona | $64 | $251 | 9 | 46 | -2.9% |
| Ohio | $63 | $249 | 37 | 492 | -4.0% |
| West Virginia | $62 | $300 | 1 | 18 | -5.1% |
| Georgia | $62 | $179 | 11 | 59 | -5.3% |
| Kentucky | $62 | $158 | 5 | 156 | -5.6% |
| Texas | $61 | $171 | 24 | 387 | -6.1% |
| North Dakota | $61 | $243 | 2 | 22 | -6.2% |
| South Carolina | $61 | $174 | 23 | 383 | -6.3% |
| South Dakota | $61 | $162 | 2 | 16 | -6.5% |
| Alabama | $61 | $90 | 6 | 129 | -6.5% |
| Wisconsin | $61 | $355 | 8 | 28 | -7.1% |
| North Carolina | $61 | $179 | 31 | 306 | -7.2% |
| Indiana | $60 | $164 | 17 | 78 | -7.7% |
| Tennessee | $60 | $178 | 12 | 1,066 | -8.1% |
| Minnesota | $58 | $292 | 42 | 391 | -11.1% |
⚠️ 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