Q9968

Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg

Medicare pricing data for 129 providers across 23 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $35.26 but Medicare allows only $6.87. Uninsured patients may face bills 5.1 times higher than what insurance negotiates. Prices vary significantly by location — from $3 in North Carolina to $8 in Nevada. 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

Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg (HCPCS code Q9968) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.87, but hospitals typically charge $35.26 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.37

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.87, your out-of-pocket cost would be approximately $1.37. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.87
Average Hospital Charge
$35.26
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$35.26
Medicare Allowed$6.87
Medicare Payment$5.48

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $5.48 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$8$154129+9.3%
Tennessee$8$357321+9.3%
Wisconsin$8$1821,955+9.3%
Colorado$8$1251,363+9.3%
Idaho$7$151440+9.0%
Kansas$7$1211,210+8.9%
Washington$7$251299+8.9%
New York$7$2043120+8.6%
Maryland$7$3311,800+8.4%
Massachusetts$7$150114+8.4%
Missouri$7$583776+8.3%
Utah$7$1363,970+8.0%
Michigan$7$1821,000+7.7%
Texas$7$46226,516+7.4%
Georgia$7$242331+7.3%
California$7$134162,374+6.6%
Oklahoma$7$271902+4.9%
Florida$7$14194,958+3.6%
Alaska$7$223376+1.6%
Arizona$7$374171+1.3%
South Carolina$7$1221,526+0.4%
Louisiana$5$184239-29.5%
North Carolina$3$4192,789-60.3%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber