G0010

Administration of hepatitis b vaccine

Medicare pricing data for 18,877 providers across 51 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

Administration of hepatitis b vaccine (HCPCS code G0010) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $29.70, but hospitals typically charge $53.40 — a 1.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $29.70, your out-of-pocket cost would be approximately $5.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$29.70
Average Hospital Charge
$53.40
Markup Ratio
1.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$53.40
Medicare Allowed$29.70
Medicare Payment$29.70

Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $29.70 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Massachusetts$33$728342,104+9.9%
Alaska$33$484086+9.9%
New York$32$651,1513,170+8.7%
New Jersey$32$516731,465+7.6%
California$32$592,0755,931+7.4%
Connecticut$32$47286710+7.4%
District of Columbia$31$5482155+5.2%
Illinois$30$457752,431+2.4%
New Hampshire$30$57104219+2.1%
Maryland$30$505511,445+1.6%
Vermont$30$411017+1.4%
Delaware$30$5585613+1.4%
Colorado$30$55393815+1.1%
Washington$30$617582,389+0.9%
Hawaii$30$383652+0.1%
Texas$30$568282,408-0.2%
Maine$30$7146132-0.3%
Rhode Island$29$4474162-1.1%
Florida$29$594821,180-1.6%
Pennsylvania$29$461,2153,018-1.6%
Virginia$29$455821,439-1.9%
Minnesota$29$481,0522,841-2.0%
Nevada$29$94128775-2.7%
Ohio$29$45460973-2.8%
Wyoming$29$763066-3.3%
North Dakota$29$5555170-3.6%
Montana$29$544385-4.0%
New Mexico$29$5662117-4.0%
Wisconsin$28$569953,452-4.2%
Georgia$28$524481,256-4.3%
Louisiana$28$4451155-4.5%
Michigan$28$363711,042-4.5%
Iowa$28$56283746-4.6%
Missouri$28$43201418-4.8%
South Carolina$28$44238629-5.3%
Kentucky$28$46272613-5.3%
Arizona$28$514431,226-5.8%
Oklahoma$28$45108206-6.3%
Utah$28$49122394-6.3%
North Carolina$28$486802,106-6.4%
Kansas$28$40136237-6.6%
Mississippi$27$3560229-7.8%
Nebraska$27$41115267-7.9%
Arkansas$27$4485196-7.9%
Indiana$27$394571,196-8.3%
Tennessee$27$463581,354-8.3%
Oregon$27$58252434-9.0%
Alabama$27$3380206-9.3%
South Dakota$27$4852131-10.4%
West Virginia$26$3866185-11.3%
Idaho$26$452570-12.4%

⚠️ 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