Last updated: March 2026
How Much Does Hyperbaric Oxygen Therapy (HBOT) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| HBOT (per session) | $200 – $500 | $50 – $200 |
| HBOT Course (20-40 sessions) | $4,000 – $20,000 | $1,000 – $6,000 |
| Emergency HBOT (carbon monoxide poisoning) | $500 – $2,000 | $100 – $500 |
CPT/ADA Code: 99183
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Covered for approved conditions (diabetic wounds, radiation injury); not covered for off-label uses
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
HBOT costs $200 to $500 per session. A full course of 20-40 sessions costs $4,000-$20,000.
Insurance covers HBOT for FDA-approved conditions including diabetic foot ulcers, radiation tissue damage, and carbon monoxide poisoning. Off-label uses are not covered.
Each HBOT session lasts 90-120 minutes. Patients breathe pure oxygen in a pressurized chamber.