80158

Cyclosporine level

Medicare pricing data for 250 providers across 32 states

🤖AI Overview

This procedure has a 11.2x markup — hospitals charge $197.44 but Medicare allows only $17.65. Uninsured patients may face bills 11.2 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

Cyclosporine level (HCPCS code 80158) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.65, but hospitals typically charge $197.44 — a 11.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.53

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.65, your out-of-pocket cost would be approximately $3.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.65
Average Hospital Charge
$197.44
Markup Ratio
11.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$197.44
Medicare Allowed$17.65
Medicare Payment$17.65

Hospitals charge 11.2x more than what Medicare allows for this procedure. Medicare actually pays $17.65 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Kansas$18$2534735+0.2%
Maine$18$67140+0.2%
Maryland$18$2057330+0.2%
Massachusetts$18$2725902+0.2%
Mississippi$18$126350+0.2%
Nevada$18$2732152+0.2%
New Mexico$18$167174+0.2%
New York$18$1578463+0.2%
North Carolina$18$16683,080+0.2%
North Dakota$18$114342+0.2%
Pennsylvania$18$2395672+0.2%
South Carolina$18$72235+0.2%
Tennessee$18$933209+0.2%
Virginia$18$968272+0.2%
Alabama$18$1714651+0.2%
Michigan$18$1125106+0.2%
Texas$18$211182,437+0.2%
Arizona$18$14951,520+0.1%
California$18$209293,751+0.1%
New Jersey$18$208102,742+0.1%
Georgia$18$28624590.0%
Hawaii$18$11122290.0%
Florida$18$26782,767-0.1%
Colorado$18$1685157-0.2%
Illinois$18$2559432-0.2%
Washington$18$1139558-0.5%
Ohio$18$12612864-0.6%
Oklahoma$18$2374454-0.6%
Iowa$18$87481-0.7%
Minnesota$17$148311,010-0.9%
Wisconsin$17$1235317-1.0%
Oregon$17$905170-4.1%

⚠️ 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