Lamotrigine level
Medicare pricing data for 397 providers across 42 states
This procedure has a 8.6x markup — hospitals charge $111.29 but Medicare allows only $12.95. Uninsured patients may face bills 8.6 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
Lamotrigine level (HCPCS code 80175) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.95, but hospitals typically charge $111.29 — a 8.6x 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 $12.95, your out-of-pocket cost would be approximately $2.59. 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 8.6x more than what Medicare allows for this procedure. Medicare actually pays $12.95 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $13 | $16 | 2 | 30 | +0.2% |
| Georgia | $13 | $115 | 5 | 990 | +0.2% |
| Hawaii | $13 | $60 | 2 | 42 | +0.2% |
| Idaho | $13 | $32 | 2 | 18 | +0.2% |
| Kentucky | $13 | $19 | 4 | 126 | +0.2% |
| Maine | $13 | $74 | 2 | 182 | +0.2% |
| Maryland | $13 | $96 | 5 | 318 | +0.2% |
| Mississippi | $13 | $91 | 6 | 57 | +0.2% |
| Missouri | $13 | $23 | 4 | 67 | +0.2% |
| Nevada | $13 | $119 | 1 | 145 | +0.2% |
| New Hampshire | $13 | $77 | 4 | 34 | +0.2% |
| New Jersey | $13 | $132 | 10 | 3,428 | +0.2% |
| New Mexico | $13 | $109 | 1 | 41 | +0.2% |
| New York | $13 | $40 | 9 | 804 | +0.2% |
| North Dakota | $13 | $46 | 8 | 42 | +0.2% |
| Pennsylvania | $13 | $112 | 8 | 681 | +0.2% |
| Rhode Island | $13 | $52 | 1 | 16 | +0.2% |
| South Dakota | $13 | $71 | 4 | 152 | +0.2% |
| Virginia | $13 | $59 | 8 | 361 | +0.2% |
| California | $13 | $107 | 27 | 2,470 | +0.2% |
| Colorado | $13 | $129 | 8 | 310 | +0.2% |
| Florida | $13 | $101 | 13 | 2,002 | +0.2% |
| North Carolina | $13 | $154 | 12 | 5,333 | +0.2% |
| Ohio | $13 | $63 | 15 | 1,446 | +0.2% |
| Texas | $13 | $128 | 29 | 2,052 | +0.2% |
| Oklahoma | $13 | $55 | 8 | 550 | +0.1% |
| Tennessee | $13 | $88 | 8 | 291 | +0.1% |
| Washington | $13 | $113 | 7 | 340 | +0.1% |
| Alabama | $13 | $154 | 6 | 373 | +0.1% |
| Illinois | $13 | $89 | 16 | 721 | 0.0% |
| Massachusetts | $13 | $94 | 8 | 1,295 | 0.0% |
| Oregon | $13 | $86 | 6 | 270 | 0.0% |
| Utah | $13 | $31 | 6 | 290 | -0.1% |
| Kansas | $13 | $120 | 10 | 650 | -0.4% |
| Arizona | $13 | $128 | 4 | 395 | -0.5% |
| Minnesota | $13 | $132 | 75 | 670 | -0.8% |
| Wisconsin | $13 | $54 | 11 | 527 | -0.8% |
| Indiana | $13 | $166 | 2 | 70 | -1.0% |
| Michigan | $13 | $40 | 12 | 210 | -1.3% |
| South Carolina | $12 | $48 | 8 | 51 | -4.2% |
| Iowa | $12 | $44 | 6 | 63 | -5.2% |
| Arkansas | $10 | $10 | 1 | 73 | -22.4% |
⚠️ 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