A9555

Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries

Medicare pricing data for 1,701 providers across 37 states

🤖AI Overview

Prices vary significantly by location — from $101 in Iowa to $1,553 in Arkansas. 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

Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries (HCPCS code A9555) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $533.09, but hospitals typically charge $1,153 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$106.62

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $533.09, your out-of-pocket cost would be approximately $106.62. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$533.09
Average Hospital Charge
$1,153
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,152.64
Medicare Allowed$533.09
Medicare Payment$425.12

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $425.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Arkansas$1,553$1,7839719+191.3%
Oklahoma$1,131$3,5153911+112.2%
Pennsylvania$841$1,022756,819+57.8%
North Carolina$805$88121,025+51.0%
New Jersey$798$1,232526,014+49.7%
Delaware$762$1,17251,609+43.0%
Illinois$713$1,6495729,972+33.8%
Maryland$681$1,203434,735+27.8%
Louisiana$679$1,157868,539+27.3%
Texas$624$1,08728133,242+17.1%
Kansas$554$1,066172,528+4.0%
Minnesota$534$668973+0.1%
Maine$524$650154-1.7%
New Hampshire$524$1,600142-1.7%
Wisconsin$522$1,32612757-2.0%
Mississippi$520$1,760414,880-2.5%
Arizona$516$1,4147211,231-3.2%
California$516$1,30123773,719-3.3%
Oregon$514$7007925-3.5%
Connecticut$514$65522703-3.6%
Nevada$509$857567,133-4.6%
Utah$508$8029889-4.6%
Washington$505$1,909182,306-5.3%
Alaska$501$875101,507-6.0%
Missouri$495$51213774-7.2%
Massachusetts$473$1,4225327-11.3%
District of Columbia$466$885294-12.6%
New York$421$5078618,078-21.0%
Michigan$412$1,0843235-22.8%
Florida$392$91026438,164-26.4%
Virginia$356$982527,441-33.2%
Ohio$323$7174144-39.3%
Alabama$294$6426410,547-44.9%
Georgia$283$1,310576,059-47.0%
Kentucky$271$94571,425-49.1%
Tennessee$250$446293-53.1%
Iowa$101$10592,077-81.1%

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

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