C2639

Brachytherapy source, non-stranded, iodine-125, per source

Medicare pricing data for 19 providers across 6 states

🤖AI Overview

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

Brachytherapy source, non-stranded, iodine-125, per source (HCPCS code C2639) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.25, but hospitals typically charge $65.02 — a 1.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.85

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.25, your out-of-pocket cost would be approximately $6.85. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$34.25
Average Hospital Charge
$65.02
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$65.02
Medicare Allowed$34.25
Medicare Payment$27.29

Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $27.29 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$35$8021,501+1.5%
Georgia$35$4223,085+1.5%
Arizona$35$11511,510+1.5%
California$34$503974+0.4%
Florida$34$3952,001-1.2%
Maryland$34$7932,984-2.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber