How to get a hospital bed for free (3 figures)
The Medicare DME Coverage and Allowable carries 3 published figures read from 2 sources' own pages, under different breakdowns, so no one range is stated, read 12 September 2026.
2 of the 7 named sources read in full publish a figure; 5 publish none, read 12 September 2026.
By rule and rent or purchase
| Breakdown | Median | Range | Sources |
|---|---|---|---|
| ruleMedicare payment share | 80% | 80 to 80% | 1 |
| rulebeneficiary coinsurance | 20% | 20 to 20% | 1 |
| rent or purchasepurchase | 20% | 20 to 20% | 1 |
Every figure, with its source
One row per published figure: the figure as the source's own page publishes it, the page, and the day it was read. A figure that is not on a page we read is not on this one.
| Source | Figure | Breakdown | Read |
|---|---|---|---|
| CMS - payment policies for DMEPOS items and services | 80% | Medicare payment share | 2026-09-12 |
| CMS - payment policies for DMEPOS items and services | 20% | beneficiary coinsurance | 2026-09-12 |
| Medicare - coverage of DME and other devices (publication 11045) | 20% | purchase | 2026-09-12 |
The sentence each figure was read from (3)
- CMS - payment policies for DMEPOS items and services, read 2026-09-12:
The Medicare allowed payment amount is equal to 80% of the lower of the supplier’s actual charge for the item or service or the fee schedule amount for the item or service, less any unmet Part B deductible.
- CMS - payment policies for DMEPOS items and services, read 2026-09-12:
The Medicare beneficiary is responsible for 20% of the lower of either the actual charge or the fee schedule amount for the item or service, plus any unmet Part B deductible.
- Medicare - coverage of DME and other devices (publication 11045), read 2026-09-12:
to the cost of replacing the item) for repairs. You pay the other 20%.
Read in full, publishes no figure
5 named sources were read in full on the dates shown and print no usable figure. They are counted, never filled in.
- CMS - DMEPOS fee schedule, read 2026-09-12: read in full and no accepted figure on the page
- Medicare.gov - durable medical equipment (DME) coverage, read 2026-09-12: read in full and no accepted figure on the page
- Medicare.gov - wheelchairs and scooters coverage, read 2026-09-12: read in full and no accepted figure on the page
- Medicare - coverage of wheelchairs and scooters (publication 11046), read 2026-09-12: read in full and no accepted figure on the page
- NHS England - personal wheelchair budgets, frequently asked questions, read 2026-09-12: read in full and no accepted figure on the page
Methodology
Every row is a verbatim sentence read from the named source's own page through our fetch service on the date shown, hash-pinned to the stored read (the sha of the page's visible text; the raw page is mirrored to R2).
2 of the 7 named sources that could be read published a usable figure; 5 published none and are recorded as not published, never filled in; 0 could not be read (blocked, dead or unreachable) and count nowhere.
The headline figures (median, minimum, maximum, quartiles) are over ONE figure per source for each breakdown it prices, in % (a source's median where its page yielded several accepted sentences for one breakdown), so a page that gives figures for several breakdowns gives one for each and N counts 3 figures, never sentences; 7 candidate sentence(s) were refused by a reviewer with the reason recorded.
The fuller derivation this dataset is chartered to grow into (not yet what the figures above are; they are each source's own published figure as read): one row per HCPCS code per state per quarter from the DMEPOS fee schedule - the allowed amount, whether the item rents or is bought, the competitive-bidding status - joined to the coverage rule that governs it in Medicare's own words and to the buyer's 20% coinsurance; the derivation is the one figure neither CMS nor any seller publishes: the GAP between the retail price index above and the Medicare allowable for the same class of item, per state, and how that gap has moved across the quarterly fee-schedule releases
7 candidate sentences on these pages were refused by a reviewer; each refusal and its reason is recorded in the review ledger.
Sources (7)
- CMS - DMEPOS fee schedule(the publisher's own terms; quoted for reporting and comment)
- CMS - payment policies for DMEPOS items and services(the publisher's own terms; quoted for reporting and comment)
- Medicare.gov - durable medical equipment (DME) coverage(the publisher's own terms; quoted for reporting and comment)
- Medicare.gov - wheelchairs and scooters coverage(the publisher's own terms; quoted for reporting and comment)
- Medicare - coverage of wheelchairs and scooters (publication 11046)(the publisher's own terms; quoted for reporting and comment)
- Medicare - coverage of DME and other devices (publication 11045)(the publisher's own terms; quoted for reporting and comment)
- NHS England - personal wheelchair budgets, frequently asked questions(the publisher's own terms; quoted for reporting and comment)
Cite or embed this figure
Cite or embed this figure
The Medicare DME Coverage and Allowable carries 3 published figures read from 2 sources' own pages, under different breakdowns, so no one range is stated, read 12 September 2026.
2 of the 7 named sources read in full publish a figure; 5 publish none, read 12 September 2026.
Medicare DME Coverage and Allowable, rule Medicare payment share: median 80 percent across 1 source, read 12 September 2026.
Medicare DME Coverage and Allowable, rule beneficiary coinsurance: median 20 percent across 1 source, read 12 September 2026.
Medicare DME Coverage and Allowable, rent or purchase purchase: median 20 percent across 1 source, read 12 September 2026.
Cite as: "Procedure Cost Checker Medicare DME Coverage and Allowable", updated 2026-10-19, https://procedurecostchecker.com/datasets/medicare-dme-coverage-and-allowable/.
Download the CSV (3 rows, computed 2026-10-19)