Catheterization for collection of specimen, single patient, all places of service
Medicare pricing data for 1,766 providers across 42 states
Prices vary significantly by location — from $4 in Nebraska to $8 in Michigan. 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
Catheterization for collection of specimen, single patient, all places of service (HCPCS code P9612) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.54, but hospitals typically charge $28.65 — a 3.8x 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 $7.54, your out-of-pocket cost would be approximately $1.51. 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 3.8x more than what Medicare allows for this procedure. Medicare actually pays $7.54 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Michigan | $8 | $28 | 9 | 26 | +11.4% |
| Mississippi | $8 | $10 | 17 | 1,090 | +10.9% |
| Massachusetts | $8 | $24 | 16 | 480 | +10.7% |
| Alabama | $8 | $14 | 46 | 638 | +9.0% |
| New York | $8 | $10 | 119 | 1,583 | +8.1% |
| Virginia | $8 | $14 | 137 | 1,647 | +8.1% |
| Idaho | $8 | $127 | 15 | 68 | +7.0% |
| Wisconsin | $8 | $176 | 20 | 36 | +6.8% |
| New Mexico | $8 | $16 | 5 | 35 | +6.6% |
| District of Columbia | $8 | $12 | 7 | 34 | +6.5% |
| Kansas | $8 | $55 | 14 | 36 | +5.8% |
| Minnesota | $8 | $79 | 47 | 102 | +5.8% |
| Pennsylvania | $8 | $21 | 60 | 393 | +5.4% |
| South Carolina | $8 | $9 | 14 | 200 | +4.8% |
| Arizona | $8 | $100 | 108 | 759 | +4.1% |
| California | $8 | $42 | 65 | 354 | +3.8% |
| Indiana | $8 | $14 | 34 | 82 | +3.6% |
| Texas | $8 | $15 | 158 | 1,544 | +3.1% |
| Florida | $8 | $110 | 118 | 1,235 | +2.1% |
| Georgia | $8 | $77 | 60 | 533 | +1.9% |
| Missouri | $8 | $51 | 23 | 63 | +1.1% |
| Illinois | $8 | $84 | 36 | 355 | +0.1% |
| Oklahoma | $7 | $10 | 26 | 2,603 | -0.8% |
| Iowa | $7 | $16 | 24 | 145 | -1.7% |
| South Dakota | $7 | $9 | 18 | 37 | -3.1% |
| Louisiana | $7 | $12 | 20 | 225 | -4.6% |
| Tennessee | $7 | $25 | 59 | 748 | -4.9% |
| Colorado | $7 | $9 | 84 | 317 | -9.7% |
| Maryland | $7 | $13 | 54 | 294 | -10.5% |
| Oregon | $6 | $16 | 17 | 37 | -13.9% |
| Ohio | $6 | $9 | 59 | 232 | -14.3% |
| Nevada | $6 | $10 | 10 | 112 | -16.0% |
| New Jersey | $6 | $24 | 23 | 140 | -16.7% |
| Delaware | $6 | $11 | 4 | 57 | -16.8% |
| Arkansas | $6 | $12 | 16 | 74 | -17.0% |
| Kentucky | $6 | $7 | 18 | 95 | -18.8% |
| Washington | $6 | $9 | 68 | 278 | -21.0% |
| Connecticut | $6 | $6 | 12 | 37 | -23.2% |
| North Carolina | $5 | $8 | 78 | 704 | -30.8% |
| Wyoming | $4 | $18 | 11 | 26 | -40.5% |
| Puerto Rico | $4 | $9 | 10 | 270 | -40.6% |
| Nebraska | $4 | $4 | 12 | 30 | -51.3% |
⚠️ 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