80051

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)

Medicare pricing data for 2,581 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 panel for electrolytes (sodium potassium, chloride, carbon dioxide) (HCPCS code 80051) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.82, but hospitals typically charge $25.60 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.36

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.82, your out-of-pocket cost would be approximately $1.36. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.82
Average Hospital Charge
$25.60
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$25.60
Medicare Allowed$6.82
Medicare Payment$6.82

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $6.82 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$7$16457+0.7%
Idaho$7$27416+0.7%
Illinois$7$24646,797+0.7%
Louisiana$7$2934396+0.7%
Massachusetts$7$3150314,811+0.7%
Montana$7$31416+0.7%
Nebraska$7$191253+0.7%
Nevada$7$324420+0.7%
New Hampshire$7$1811352+0.7%
New Mexico$7$33443+0.7%
Ohio$7$27586,915+0.7%
Rhode Island$7$3962,575+0.7%
South Carolina$7$5110147+0.7%
Utah$7$1411101+0.7%
Vermont$7$3715108+0.7%
West Virginia$7$55513+0.7%
Wyoming$7$25342+0.7%
Puerto Rico$7$92564+0.7%
Colorado$7$1891,714+0.7%
Georgia$7$16141,581+0.6%
Indiana$7$38771,392+0.6%
Iowa$7$35541,595+0.6%
Michigan$7$26736,501+0.6%
North Carolina$7$186016,544+0.6%
South Dakota$7$32171,011+0.6%
Tennessee$7$1940685+0.6%
Texas$7$241037,518+0.6%
New York$7$35592,440+0.4%
Pennsylvania$7$27531,242+0.3%
Washington$7$24381,445+0.3%
California$7$3114023,793+0.3%
Connecticut$7$2628593+0.3%
Kansas$7$26201,182+0.1%
Maryland$7$22236,065+0.1%
Missouri$7$141082,695+0.1%
Florida$7$3011913,9600.0%
Mississippi$7$18587080.0%
New Jersey$7$182724,2580.0%
Kentucky$7$291293-0.3%
Virginia$7$2531741-0.3%
Minnesota$7$403774,553-0.4%
Oregon$7$1934156-0.4%
Wisconsin$7$8985320-0.6%
Alabama$7$16295,444-1.6%
Hawaii$7$329836-4.0%
Arizona$6$25233,700-5.4%
Maine$6$34449-6.6%
Oklahoma$6$1819321-12.8%
Arkansas$5$2045363-28.4%

⚠️ 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