80162

Digoxin level, total

Medicare pricing data for 1,560 providers across 46 states

🤖AI Overview

This procedure has a 6.1x markup — hospitals charge $79.04 but Medicare allows only $13.00. Uninsured patients may face bills 6.1 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

Digoxin level, total (HCPCS code 80162) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.00, but hospitals typically charge $79.04 — a 6.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.60

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.00, your out-of-pocket cost would be approximately $2.60. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.00
Average Hospital Charge
$79.04
Markup Ratio
6.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$79.04
Medicare Allowed$13.00
Medicare Payment$13.00

Hospitals charge 6.1x more than what Medicare allows for this procedure. Medicare actually pays $13.00 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$13$27383+0.1%
Florida$13$72626,991+0.1%
Georgia$13$9261,179+0.1%
Idaho$13$56566+0.1%
Indiana$13$718300+0.1%
Iowa$13$4610236+0.1%
Kansas$13$99402,146+0.1%
Kentucky$13$2732434+0.1%
Louisiana$13$58171,197+0.1%
Maine$13$422102+0.1%
Missouri$13$4234154+0.1%
Nebraska$13$41394+0.1%
New Hampshire$13$811356+0.1%
New Mexico$13$74273+0.1%
New York$13$95253,632+0.1%
North Dakota$13$7010245+0.1%
Oklahoma$13$51131,217+0.1%
Oregon$13$5816409+0.1%
Pennsylvania$13$74211,562+0.1%
Rhode Island$13$562149+0.1%
South Dakota$13$7324224+0.1%
Texas$13$86985,782+0.1%
Utah$13$301478+0.1%
Arizona$13$82281,463+0.1%
Colorado$13$8510609+0.1%
Illinois$13$86811,8800.0%
Maryland$13$69241,1090.0%
Massachusetts$13$771542,5340.0%
New Jersey$13$91578,7780.0%
North Carolina$13$87515,1130.0%
Puerto Rico$13$16491030.0%
California$13$85716,6690.0%
Connecticut$13$9531510.0%
Nevada$13$536604-0.1%
Ohio$13$68213,786-0.1%
Virginia$13$56351,076-0.1%
Arkansas$13$2823444-0.1%
Washington$13$74401,638-0.2%
Alabama$13$80392,173-0.2%
Michigan$13$4218435-0.2%
Hawaii$13$494374-0.4%
South Carolina$13$397160-0.4%
Mississippi$13$7016472-0.5%
Tennessee$13$651321,393-0.5%
Wisconsin$13$9631890-0.5%
Minnesota$13$70185496-0.9%

⚠️ 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