80047

Blood test, basic group of blood chemicals (calcium, ionized)

Medicare pricing data for 4,088 providers across 49 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

Blood test, basic group of blood chemicals (calcium, ionized) (HCPCS code 80047) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.40, but hospitals typically charge $39.46 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.40, your out-of-pocket cost would be approximately $2.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.40
Average Hospital Charge
$39.46
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$39.46
Medicare Allowed$13.40
Medicare Payment$13.40

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $13.40 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$13$485136+0.4%
Hawaii$13$42415+0.4%
Massachusetts$13$9748931+0.4%
New Hampshire$13$4614112+0.4%
New Mexico$13$31849+0.4%
North Dakota$13$7514258+0.4%
Rhode Island$13$1005106+0.4%
Wyoming$13$6912238+0.4%
Arizona$13$218858,658+0.4%
Connecticut$13$48634+0.4%
Florida$13$261496,388+0.3%
Illinois$13$1421013,930+0.3%
New York$13$432036,480+0.3%
Kentucky$13$2023,095+0.2%
Wisconsin$13$962092,014+0.2%
California$13$3426210,840+0.2%
Montana$13$2825232+0.1%
Nevada$13$3337277+0.1%
Pennsylvania$13$561613,945+0.1%
Texas$13$382355,603+0.1%
Georgia$13$421514,412+0.1%
New Jersey$13$501112,834+0.1%
Minnesota$13$962812,9550.0%
Iowa$13$471051,910-0.1%
Kansas$13$25261,019-0.1%
Missouri$13$6369933-0.1%
North Carolina$13$561051,274-0.1%
Ohio$13$5467831-0.1%
Oregon$13$2915167-0.1%
Arkansas$13$4319834-0.1%
Nebraska$13$3220127-0.2%
Indiana$13$451484-0.3%
Maryland$13$5621213,637-0.3%
Utah$13$251502,177-0.3%
Washington$13$311162,722-0.3%
Oklahoma$13$37432,465-0.4%
South Dakota$13$828719-0.5%
Virginia$13$5243312,691-0.6%
Tennessee$13$41915,080-0.7%
West Virginia$13$3020111-0.7%
Michigan$13$41389,505-0.8%
Colorado$13$28981,362-0.8%
District of Columbia$13$549153-0.9%
South Carolina$13$441762,102-1.0%
Alaska$13$321258-1.3%
Louisiana$13$309136-1.5%
Mississippi$13$23171,256-2.7%
Alabama$13$2752543-2.8%
Idaho$13$2716176-3.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber