Acupuncture, initial 15 minutes
Medicare pricing data for 995 providers across 38 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
Acupuncture, initial 15 minutes (HCPCS code 97810) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.74, but hospitals typically charge $115.86 — 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 $39.74, your out-of-pocket cost would be approximately $7.95. 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 $30.82 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $43 | $90 | 2 | 498 | +8.3% |
| New York | $43 | $107 | 88 | 12,708 | +7.6% |
| California | $41 | $96 | 149 | 20,196 | +4.0% |
| New Jersey | $41 | $194 | 90 | 13,583 | +3.8% |
| Connecticut | $41 | $143 | 12 | 657 | +2.3% |
| Massachusetts | $39 | $126 | 16 | 1,320 | -1.0% |
| Maryland | $39 | $86 | 23 | 1,548 | -1.6% |
| Pennsylvania | $38 | $120 | 57 | 2,683 | -3.2% |
| Illinois | $38 | $90 | 20 | 1,612 | -3.6% |
| Hawaii | $38 | $76 | 4 | 310 | -3.7% |
| Nevada | $38 | $102 | 4 | 415 | -4.0% |
| Michigan | $38 | $105 | 33 | 1,643 | -4.8% |
| Oregon | $38 | $66 | 13 | 2,379 | -5.1% |
| Virginia | $38 | $113 | 15 | 413 | -5.2% |
| Texas | $38 | $201 | 22 | 1,158 | -5.6% |
| Washington | $37 | $93 | 18 | 894 | -6.4% |
| South Dakota | $37 | $70 | 3 | 454 | -6.5% |
| Minnesota | $37 | $123 | 130 | 3,461 | -6.9% |
| Delaware | $36 | $79 | 7 | 308 | -8.5% |
| Georgia | $36 | $135 | 8 | 523 | -8.6% |
| Florida | $36 | $82 | 46 | 3,206 | -9.1% |
| South Carolina | $36 | $138 | 5 | 187 | -9.1% |
| New Hampshire | $36 | $76 | 8 | 380 | -9.3% |
| Wisconsin | $36 | $60 | 36 | 1,383 | -9.3% |
| Arizona | $36 | $110 | 29 | 2,073 | -9.8% |
| Missouri | $36 | $78 | 7 | 214 | -9.9% |
| Alabama | $36 | $58 | 2 | 71 | -10.1% |
| North Carolina | $36 | $83 | 18 | 356 | -10.3% |
| Indiana | $35 | $76 | 9 | 196 | -11.4% |
| Ohio | $35 | $90 | 29 | 2,226 | -12.3% |
| Colorado | $35 | $69 | 24 | 1,007 | -12.5% |
| New Mexico | $35 | $85 | 8 | 605 | -12.6% |
| Nebraska | $34 | $102 | 3 | 343 | -14.2% |
| Tennessee | $33 | $58 | 5 | 96 | -16.2% |
| Maine | $33 | $71 | 12 | 327 | -18.2% |
| Idaho | $31 | $75 | 2 | 15 | -22.4% |
| Vermont | $30 | $31 | 1 | 77 | -25.2% |
| Kentucky | $29 | $76 | 2 | 54 | -26.4% |
⚠️ 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