C9089

Bupivacaine, collagen-matrix implant, 1 mg

Medicare pricing data for 21 providers across 3 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

Bupivacaine, collagen-matrix implant, 1 mg (HCPCS code C9089) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $0.83, but hospitals typically charge $2.31 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.17

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $0.83, your out-of-pocket cost would be approximately $0.17. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$0.83
Average Hospital Charge
$2.31
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2.31
Medicare Allowed$0.83
Medicare Payment$0.66

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $0.66 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Arizona$1$712,136+1.2%
California$1$2330,400+1.2%
Florida$1$149,700-2.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber

🏥 See Medicare hospital data on OpenMedicare