Professional service for preparation and provision of 1 stinging insect venom
Medicare pricing data for 890 providers across 33 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
Professional service for preparation and provision of 1 stinging insect venom (HCPCS code 95145) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $32.87, but hospitals typically charge $58.62 — a 1.8x 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 $32.87, your out-of-pocket cost would be approximately $6.57. 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 1.8x more than what Medicare allows for this procedure. Medicare actually pays $24.27 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $39 | $55 | 53 | 2,060 | +18.0% |
| New Jersey | $38 | $54 | 29 | 355 | +14.2% |
| Alaska | $37 | $97 | 7 | 98 | +13.4% |
| Maryland | $37 | $57 | 23 | 189 | +12.1% |
| California | $37 | $59 | 69 | 1,146 | +11.5% |
| Connecticut | $36 | $75 | 13 | 124 | +9.0% |
| Washington | $35 | $71 | 29 | 333 | +7.0% |
| Massachusetts | $34 | $92 | 31 | 320 | +2.5% |
| Pennsylvania | $33 | $56 | 43 | 640 | +1.7% |
| Minnesota | $33 | $104 | 20 | 400 | +1.1% |
| Virginia | $33 | $51 | 42 | 493 | +0.8% |
| Oregon | $33 | $114 | 16 | 163 | +0.5% |
| Colorado | $32 | $42 | 6 | 139 | -1.2% |
| Texas | $32 | $49 | 55 | 1,153 | -4.0% |
| Florida | $31 | $46 | 54 | 1,117 | -4.4% |
| Missouri | $31 | $48 | 10 | 193 | -4.9% |
| Georgia | $31 | $81 | 22 | 280 | -5.9% |
| Wisconsin | $31 | $107 | 19 | 221 | -7.0% |
| South Carolina | $30 | $55 | 28 | 509 | -7.9% |
| North Carolina | $30 | $55 | 40 | 745 | -8.2% |
| Indiana | $30 | $56 | 12 | 182 | -9.1% |
| Louisiana | $30 | $49 | 10 | 131 | -10.1% |
| Tennessee | $30 | $55 | 28 | 396 | -10.1% |
| Illinois | $30 | $52 | 18 | 371 | -10.2% |
| Kentucky | $29 | $51 | 10 | 145 | -10.8% |
| Arizona | $29 | $63 | 15 | 236 | -11.0% |
| Ohio | $29 | $51 | 29 | 260 | -12.2% |
| Michigan | $29 | $50 | 25 | 262 | -12.7% |
| Arkansas | $29 | $49 | 12 | 197 | -13.3% |
| Alabama | $28 | $40 | 12 | 145 | -13.8% |
| Mississippi | $28 | $50 | 13 | 275 | -15.1% |
| Idaho | $28 | $61 | 11 | 212 | -16.2% |
| Montana | $27 | $45 | 6 | 88 | -18.6% |
⚠️ 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