Carbamazepine level, total
Medicare pricing data for 751 providers across 45 states
This procedure has a 6.4x markup — hospitals charge $91.56 but Medicare allows only $14.26. Uninsured patients may face bills 6.4 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
Carbamazepine level, total (HCPCS code 80156) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.26, but hospitals typically charge $91.56 — a 6.4x 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 $14.26, your out-of-pocket cost would be approximately $2.85. 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 6.4x more than what Medicare allows for this procedure. Medicare actually pays $14.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $14 | $23 | 2 | 51 | +0.1% |
| Florida | $14 | $80 | 26 | 2,747 | +0.1% |
| Georgia | $14 | $97 | 12 | 1,118 | +0.1% |
| Hawaii | $14 | $59 | 2 | 74 | +0.1% |
| Idaho | $14 | $68 | 4 | 23 | +0.1% |
| Indiana | $14 | $63 | 2 | 76 | +0.1% |
| Iowa | $14 | $64 | 10 | 107 | +0.1% |
| Kentucky | $14 | $31 | 17 | 207 | +0.1% |
| Louisiana | $14 | $50 | 21 | 697 | +0.1% |
| Maine | $14 | $51 | 3 | 61 | +0.1% |
| Minnesota | $14 | $87 | 116 | 324 | +0.1% |
| Missouri | $14 | $38 | 10 | 131 | +0.1% |
| New Hampshire | $14 | $76 | 5 | 24 | +0.1% |
| New Mexico | $14 | $77 | 2 | 117 | +0.1% |
| North Dakota | $14 | $81 | 7 | 95 | +0.1% |
| Oklahoma | $14 | $64 | 8 | 575 | +0.1% |
| Oregon | $14 | $60 | 5 | 191 | +0.1% |
| Rhode Island | $14 | $41 | 2 | 71 | +0.1% |
| South Dakota | $14 | $87 | 8 | 172 | +0.1% |
| Utah | $14 | $30 | 5 | 91 | +0.1% |
| Virginia | $14 | $55 | 21 | 549 | +0.1% |
| Puerto Rico | $14 | $19 | 13 | 21 | +0.1% |
| Arkansas | $14 | $26 | 11 | 194 | +0.1% |
| Kansas | $14 | $117 | 11 | 1,214 | +0.1% |
| Massachusetts | $14 | $96 | 45 | 1,571 | +0.1% |
| New Jersey | $14 | $101 | 18 | 4,202 | +0.1% |
| New York | $14 | $100 | 14 | 898 | +0.1% |
| Alabama | $14 | $113 | 13 | 917 | +0.1% |
| Nevada | $14 | $62 | 4 | 485 | 0.0% |
| North Carolina | $14 | $113 | 17 | 3,261 | 0.0% |
| Ohio | $14 | $88 | 19 | 2,450 | 0.0% |
| Texas | $14 | $99 | 51 | 3,255 | 0.0% |
| Pennsylvania | $14 | $101 | 14 | 830 | -0.1% |
| Washington | $14 | $99 | 19 | 588 | -0.1% |
| Wisconsin | $14 | $107 | 19 | 471 | -0.1% |
| California | $14 | $94 | 37 | 3,090 | -0.1% |
| Colorado | $14 | $96 | 8 | 447 | -0.1% |
| Illinois | $14 | $84 | 51 | 1,830 | -0.1% |
| Arizona | $14 | $91 | 15 | 595 | -0.1% |
| South Carolina | $14 | $49 | 15 | 161 | -0.3% |
| Maryland | $14 | $101 | 8 | 403 | -0.4% |
| Michigan | $14 | $38 | 18 | 503 | -0.4% |
| Tennessee | $14 | $101 | 12 | 411 | -0.4% |
| Mississippi | $14 | $68 | 8 | 146 | -1.0% |
| Connecticut | $14 | $86 | 3 | 165 | -1.3% |
⚠️ 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