Valproic acid level, free
Medicare pricing data for 221 providers across 33 states
This procedure has a 7.8x markup — hospitals charge $103.61 but Medicare allows only $13.26. Uninsured patients may face bills 7.8 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, free (HCPCS code 80165) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.26, but hospitals typically charge $103.61 — a 7.8x 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 7.8x 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 |
|---|---|---|---|---|---|
| Georgia | $13 | $111 | 3 | 213 | +0.1% |
| Illinois | $13 | $105 | 8 | 304 | +0.1% |
| Indiana | $13 | $74 | 2 | 31 | +0.1% |
| Kansas | $13 | $122 | 4 | 140 | +0.1% |
| Kentucky | $13 | $17 | 3 | 172 | +0.1% |
| Maryland | $13 | $110 | 4 | 123 | +0.1% |
| Massachusetts | $13 | $112 | 3 | 563 | +0.1% |
| Michigan | $13 | $31 | 5 | 80 | +0.1% |
| Mississippi | $13 | $18 | 3 | 214 | +0.1% |
| New Hampshire | $13 | $135 | 2 | 30 | +0.1% |
| New Jersey | $13 | $134 | 8 | 1,373 | +0.1% |
| New Mexico | $13 | $63 | 1 | 44 | +0.1% |
| New York | $13 | $97 | 9 | 3,704 | +0.1% |
| Ohio | $13 | $116 | 9 | 635 | +0.1% |
| Oregon | $13 | $51 | 5 | 27 | +0.1% |
| Pennsylvania | $13 | $105 | 7 | 354 | +0.1% |
| Rhode Island | $13 | $30 | 1 | 13 | +0.1% |
| South Carolina | $13 | $38 | 4 | 55 | +0.1% |
| Tennessee | $13 | $101 | 2 | 65 | +0.1% |
| Texas | $13 | $107 | 11 | 700 | +0.1% |
| Utah | $13 | $60 | 3 | 95 | +0.1% |
| Virginia | $13 | $87 | 7 | 168 | +0.1% |
| Washington | $13 | $132 | 4 | 202 | +0.1% |
| Wisconsin | $13 | $94 | 6 | 206 | +0.1% |
| Alabama | $13 | $120 | 6 | 359 | +0.1% |
| Arizona | $13 | $116 | 4 | 100 | +0.1% |
| Colorado | $13 | $131 | 3 | 140 | +0.1% |
| Florida | $13 | $92 | 12 | 990 | 0.0% |
| Oklahoma | $13 | $63 | 3 | 96 | 0.0% |
| California | $13 | $79 | 15 | 1,153 | 0.0% |
| North Carolina | $13 | $136 | 4 | 1,430 | -0.2% |
| Minnesota | $13 | $114 | 40 | 363 | -0.4% |
| Nevada | $13 | $52 | 2 | 110 | -1.6% |
⚠️ 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