0312U

Analysis of 8 igg autoantibodies and 2 cell-bound complement activation products associated with autoimmune disease, using enzyme-linked immunosorbent immunoassay (elisa), flow cytometry and indirect immunofluorescence in serum specimen or plasma and whole

Medicare pricing data for 1 providers across 1 states

🤖AI Overview

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

Analysis of 8 igg autoantibodies and 2 cell-bound complement activation products associated with autoimmune disease, using enzyme-linked immunosorbent immunoassay (elisa), flow cytometry and indirect immunofluorescence in serum specimen or plasma and whole (HCPCS code 0312U) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $823.06, but hospitals typically charge $1,086 — a 1.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$164.61

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $823.06, your out-of-pocket cost would be approximately $164.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$823.06
Average Hospital Charge
$1,086
Markup Ratio
1.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,085.61
Medicare Allowed$823.06
Medicare Payment$823.06

Hospitals charge 1.3x more than what Medicare allows for this procedure. Medicare actually pays $823.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$823$1,086113,5880.0%

⚠️ 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