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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. P9603
  4. Cost Analysis

How Much Does Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled Cost on Medicare?

Cost analysis for CPT P9603 — Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled

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Average Medicare Payment

$1.06

2023 data

Total Payments (2023)

$48.4M

Services (2023)

46.3M

Price Change (2014–2023)

+19.1%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$0.89$61.5M81.5M—
2015$0.96$61.9M70.9M+7.9%
2016$0.98$57.8M63.7M+2.1%
2017$0.95$60.1M65.1M-3.1%
2018$0.95$59.8M63.3M0.0%
2019$0.96$58.1M60.1M+1.1%
2020$0.98$57.5M57.8M+2.1%
2021$1.01$41.3M41.9M+3.1%
2022$1.02$40.8M41.0M+1.0%
2023$1.06$48.4M46.3M+3.9%

🗺️ State-by-State Cost Variation

The most expensive state pays 6.0x more than the cheapest for this procedure. CA averages $1.10 vs PA at $0.18.

StateAvg PaymentTotal PaymentsServicesProviders
CA$1.10$4.1M3.7M17
DE$1.09$376.8K345.2K3
WA$1.09$73.1K67.1K5
MN$1.09$1.8K1.7K3
IN$1.09$55.0K50.6K2
OR$1.09$26.5K24.4K1
SC$1.09$59.2K54.4K2
UT$1.09$67.2K61.8K2
MS$1.09$119.0K109.4K4
GA$1.09$1.5M1.4M4
CO$1.09$360.6K331.8K5
ND$1.09$173.2K159.4K1
NJ$1.09$2.5M2.3M10
NV$1.09$1.4M1.3M4
MD$1.09$257.9K237.5K3
MA$1.08$1.2M1.1M4
IL$1.08$9.5M8.8M41
MI$1.08$52.8K48.8K6
OK$1.08$377.6K349.0K3
MO$1.08$1.1M1.0M9
ME$1.08$12.6K11.6K1
TX$1.07$2.3M2.1M31
AL$1.07$650.0K608.4K6
AZ$1.07$1.3M1.2M6
NY$1.07$52.8K49.5K2
FL$1.07$10.7M10.1M37
TN$1.07$164.3K154.3K4
AR$1.06$265.5K249.5K3
VA$1.06$2.0M1.9M5
NC$1.06$1.4M1.3M6
KS$1.06$239.4K225.9K6
OH$1.05$3.7M3.5M8
LA$1.05$1.3M1.2M4
WI$1.04$112.2K107.7K5
RI$0.97$79.3K82.2K1
KY$0.96$755.4K787.3K3
PA$0.18$246.2K1.3M8

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
American Health Mw, LlcClinical LaboratoryOH$3.6M3.4M$1.05
American Health S, LlcClinical LaboratoryFL$2.8M2.6M$1.08
Star Lab, IncClinical LaboratoryIL$2.5M2.3M$1.09
Vista Clinical Diagnostics LlcClinical LaboratoryVA$2.0M1.9M$1.06
Centers Lab Nj LlcClinical LaboratoryNJ$1.8M1.6M$1.09
Heritage Lab Express IncClinical LaboratoryIL$1.6M1.4M$1.09
Advanced Clinical Laboratories, Inc.Clinical LaboratoryFL$1.5M1.4M$1.06
Myonsite Diagnostic LabClinical LaboratoryCA$1.5M1.4M$1.08
Laboratory Of Florida LlcClinical LaboratoryFL$1.5M1.3M$1.09
Clinical Laboratory Services, Inc.Clinical LaboratoryGA$1.3M1.2M$1.09
Kan-Di-Ki LlcClinical LaboratoryNV$1.3M1.2M$1.09
Victoria Healthcare ResourcesClinical LaboratoryLA$1.1M1.1M$1.04
U S Lab & Radiology LlcClinical LaboratoryMA$1.1M1.0M$1.09
Quality Clinical Lab LlcClinical LaboratoryFL$1.0M1.0M$0.98
Professional Healthcare IncClinical LaboratoryIL$973.2K894.7K$1.09
Mako Medical Laboratories, LlcClinical LaboratoryNC$925.0K853.4K$1.08
Precision Labs LlcClinical LaboratoryMO$829.3K760.3K$1.09
Unique Lab Services, LlcClinical LaboratoryAZ$749.9K692.9K$1.08
Four Tech Laboratory LlcClinical LaboratoryCA$740.7K674.1K$1.10
Reliant Scientific LlcClinical LaboratoryFL$712.5K655.0K$1.09

🤔 Is Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled Overpriced?

The data suggests significant pricing inconsistencies for CPT P9603. With a 6.0x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have risen 19.1% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.