80074

Acute hepatitis panel

Medicare pricing data for 2,082 providers across 49 states

🤖AI Overview

This procedure has a 7.4x markup — hospitals charge $344.67 but Medicare allows only $46.56. Uninsured patients may face bills 7.4 times higher than what insurance negotiates. 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

Acute hepatitis panel (HCPCS code 80074) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $46.56, but hospitals typically charge $344.67 — a 7.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.31

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $46.56, your out-of-pocket cost would be approximately $9.31. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$46.56
Average Hospital Charge
$344.67
Markup Ratio
7.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$344.67
Medicare Allowed$46.56
Medicare Payment$46.56

Hospitals charge 7.4x more than what Medicare allows for this procedure. Medicare actually pays $46.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$47$1723196+0.3%
Maine$47$108224+0.3%
Minnesota$47$2651164+0.3%
Montana$47$155822+0.3%
Nebraska$47$88385+0.3%
New Hampshire$47$301614+0.3%
North Dakota$47$1831880+0.3%
Rhode Island$47$222249+0.3%
South Dakota$47$228636+0.3%
West Virginia$47$418219+0.3%
Wyoming$47$247521+0.3%
Alaska$47$155315+0.3%
Connecticut$47$2034476+0.3%
Illinois$47$322313,656+0.2%
Georgia$47$494153,851+0.2%
Kansas$47$477263,229+0.2%
Florida$47$41624811,981+0.2%
California$47$3057920,402+0.2%
Massachusetts$47$453651,547+0.2%
Nevada$47$46641,210+0.2%
Washington$47$39152821+0.2%
Virginia$47$18450657+0.1%
North Carolina$47$3495910,614+0.1%
Maryland$47$331161,304+0.1%
Michigan$47$122191,085+0.1%
New Jersey$47$427639,096+0.1%
Ohio$47$295504,308+0.0%
Texas$47$36718412,776+0.0%
Arizona$47$374582,991+0.0%
Oklahoma$47$226101,487-0.0%
South Carolina$47$26429474-0.1%
Puerto Rico$47$51174598-0.1%
Colorado$47$36710456-0.1%
New York$46$2532267,052-0.2%
Alabama$46$342373,988-0.2%
Louisiana$46$23827331-0.2%
New Mexico$46$1727277-0.2%
Indiana$46$13833405-0.3%
Wisconsin$46$29911309-0.4%
Missouri$46$16756233-0.4%
Idaho$46$11815142-0.5%
Tennessee$46$2741391,787-0.6%
Utah$46$1062287-0.7%
Oregon$46$13513100-0.8%
Kentucky$46$12014416-1.0%
Iowa$46$22231218-1.2%
Mississippi$46$15846319-2.2%
Pennsylvania$45$242121,323-3.4%
Arkansas$45$1443283-4.0%

⚠️ 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