Detection of immunoglobulin paraprotein (m-protein) in blood or urine
Medicare pricing data for 24 providers across 4 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Detection of immunoglobulin paraprotein (m-protein) in blood or urine (HCPCS code 0077U) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $42.26, but hospitals typically charge $177.33 — a 4.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $42.26, your out-of-pocket cost would be approximately $8.45. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $42.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Illinois | $43 | $277 | 1 | 127 | +0.7% |
| Arizona | $42 | $150 | 1 | 167 | +0.4% |
| Minnesota | $42 | $178 | 5 | 6,747 | +0.1% |
| Florida | $40 | $125 | 1 | 266 | -4.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber