Evaluation of beta amyloid ab40 and ab42 ratio
Medicare pricing data for 28 providers across 12 states
This procedure has a 10.9x markup — hospitals charge $649.23 but Medicare allows only $59.35. Uninsured patients may face bills 10.9 times higher than what insurance negotiates. 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
Evaluation of beta amyloid ab40 and ab42 ratio (HCPCS code 0346U) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $59.35, but hospitals typically charge $649.23 — a 10.9x 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 $59.35, your out-of-pocket cost would be approximately $11.87. 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 10.9x more than what Medicare allows for this procedure. Medicare actually pays $59.35 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Washington | $91 | $620 | 1 | 14 | +54.0% |
| Georgia | $91 | $645 | 1 | 690 | +53.0% |
| California | $89 | $661 | 4 | 932 | +49.2% |
| Nevada | $87 | $662 | 1 | 208 | +46.3% |
| Kansas | $86 | $651 | 1 | 41 | +45.6% |
| Florida | $47 | $646 | 4 | 2,758 | -20.4% |
| Maryland | $47 | $617 | 2 | 330 | -20.4% |
| New Jersey | $47 | $651 | 1 | 568 | -20.4% |
| Pennsylvania | $47 | $673 | 3 | 81 | -20.4% |
| Texas | $47 | $650 | 3 | 812 | -20.4% |
| Virginia | $47 | $962 | 2 | 15 | -20.4% |
| Colorado | $47 | $661 | 1 | 89 | -20.4% |
⚠️ 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