Q0112

All potassium hydroxide (koh) preparations

Medicare pricing data for 3,502 providers across 48 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

All potassium hydroxide (koh) preparations (HCPCS code Q0112) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.66, but hospitals typically charge $22.87 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.13

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $5.66, your out-of-pocket cost would be approximately $1.13. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$5.66
Average Hospital Charge
$22.87
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$22.87
Medicare Allowed$5.66
Medicare Payment$5.66

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $5.66 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Indiana$6$2768232+0.9%
Nevada$6$151754+0.9%
New Hampshire$6$441470+0.9%
New Jersey$6$271984+0.9%
New Mexico$6$331153+0.9%
South Dakota$6$151348+0.9%
Utah$6$192362+0.9%
Alaska$6$28315+0.9%
Massachusetts$6$23102791+0.7%
Pennsylvania$6$18127547+0.7%
Texas$6$202911,711+0.7%
Georgia$6$221351,034+0.5%
Idaho$6$1054206+0.5%
Illinois$6$34109504+0.5%
Florida$6$192561,451+0.4%
Michigan$6$2195436+0.4%
Nebraska$6$1927168+0.4%
North Carolina$6$272691,173+0.4%
Oregon$6$2470382+0.4%
South Carolina$6$23104881+0.4%
Washington$6$18124543+0.4%
Wisconsin$6$5146133+0.4%
Connecticut$6$2632120+0.4%
Delaware$6$211290+0.2%
Iowa$6$3776456+0.2%
Kentucky$6$2980379+0.2%
Oklahoma$6$2525105+0.2%
Arkansas$6$1948254+0.2%
Kansas$6$23321980.0%
Missouri$6$29886540.0%
Wyoming$6$2715700.0%
Louisiana$6$2145240-0.2%
Minnesota$6$223382-0.4%
Tennessee$6$2098515-0.4%
West Virginia$6$141971-0.4%
Colorado$6$2479243-0.4%
New York$6$2286698-0.5%
Arizona$6$3251294-0.5%
Mississippi$6$3140300-0.7%
Virginia$6$19108565-0.7%
Maine$6$211552-0.9%
Maryland$6$1990428-0.9%
California$6$202451,311-1.2%
Ohio$6$1790379-2.1%
Hawaii$6$2335146-2.8%
Rhode Island$6$181548-2.8%
Alabama$5$2039172-3.0%
Montana$5$241766-3.4%

⚠️ 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