Valproic acid level, total
Medicare pricing data for 1,376 providers across 47 states
This procedure has a 5.3x markup — hospitals charge $70.14 but Medicare allows only $13.26. Uninsured patients may face bills 5.3 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
Valproic acid level, total (HCPCS code 80164) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.26, but hospitals typically charge $70.14 — a 5.3x 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 $13.26, your out-of-pocket cost would be approximately $2.65. 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 5.3x more than what Medicare allows for this procedure. Medicare actually pays $13.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $13 | $26 | 3 | 414 | +0.1% |
| Florida | $13 | $48 | 42 | 26,185 | +0.1% |
| Georgia | $13 | $67 | 18 | 6,630 | +0.1% |
| Idaho | $13 | $56 | 5 | 193 | +0.1% |
| Illinois | $13 | $68 | 73 | 10,136 | +0.1% |
| Kentucky | $13 | $20 | 23 | 2,138 | +0.1% |
| Maryland | $13 | $55 | 13 | 2,748 | +0.1% |
| Mississippi | $13 | $38 | 12 | 1,045 | +0.1% |
| Missouri | $13 | $34 | 16 | 1,186 | +0.1% |
| New Hampshire | $13 | $116 | 8 | 57 | +0.1% |
| New Mexico | $13 | $80 | 3 | 329 | +0.1% |
| Oklahoma | $13 | $37 | 13 | 3,729 | +0.1% |
| Oregon | $13 | $59 | 7 | 630 | +0.1% |
| Rhode Island | $13 | $61 | 3 | 371 | +0.1% |
| South Carolina | $13 | $32 | 14 | 1,012 | +0.1% |
| South Dakota | $13 | $75 | 11 | 365 | +0.1% |
| Texas | $13 | $71 | 94 | 13,922 | +0.1% |
| Utah | $13 | $37 | 15 | 352 | +0.1% |
| Virginia | $13 | $43 | 30 | 3,019 | +0.1% |
| West Virginia | $13 | $90 | 6 | 61 | +0.1% |
| Arkansas | $13 | $22 | 15 | 2,113 | +0.1% |
| Kansas | $13 | $111 | 21 | 5,310 | 0.0% |
| Louisiana | $13 | $59 | 34 | 5,853 | 0.0% |
| Massachusetts | $13 | $78 | 104 | 8,171 | 0.0% |
| Nevada | $13 | $41 | 8 | 6,501 | 0.0% |
| New Jersey | $13 | $85 | 25 | 24,442 | 0.0% |
| New York | $13 | $88 | 17 | 2,616 | 0.0% |
| North Carolina | $13 | $93 | 25 | 12,886 | 0.0% |
| Ohio | $13 | $76 | 24 | 17,688 | 0.0% |
| Pennsylvania | $13 | $89 | 18 | 4,238 | 0.0% |
| Alabama | $13 | $89 | 27 | 4,631 | 0.0% |
| California | $13 | $78 | 63 | 17,964 | 0.0% |
| Colorado | $13 | $71 | 9 | 1,704 | 0.0% |
| Indiana | $13 | $44 | 8 | 557 | -0.1% |
| Washington | $13 | $98 | 33 | 2,192 | -0.1% |
| Arizona | $13 | $106 | 19 | 2,520 | -0.1% |
| Iowa | $13 | $66 | 7 | 416 | -0.2% |
| Maine | $13 | $61 | 2 | 350 | -0.2% |
| North Dakota | $13 | $64 | 13 | 665 | -0.2% |
| Tennessee | $13 | $66 | 70 | 1,735 | -0.2% |
| Hawaii | $13 | $71 | 2 | 187 | -0.2% |
| Michigan | $13 | $32 | 24 | 2,956 | -0.4% |
| Puerto Rico | $13 | $18 | 46 | 74 | -0.4% |
| Minnesota | $13 | $75 | 285 | 1,433 | -0.5% |
| Nebraska | $13 | $42 | 4 | 210 | -0.6% |
| Wisconsin | $13 | $105 | 37 | 1,285 | -0.8% |
| Connecticut | $13 | $97 | 5 | 470 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber