80178

Lithium level

Medicare pricing data for 954 providers across 47 states

🤖AI Overview

This procedure has a 8.1x markup — hospitals charge $52.48 but Medicare allows only $6.47. Uninsured patients may face bills 8.1 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

Lithium level (HCPCS code 80178) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.47, but hospitals typically charge $52.48 — a 8.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.29

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.47, your out-of-pocket cost would be approximately $1.29. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.47
Average Hospital Charge
$52.48
Markup Ratio
8.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$52.48
Medicare Allowed$6.47
Medicare Payment$6.47

Hospitals charge 8.1x more than what Medicare allows for this procedure. Medicare actually pays $6.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$6$16239+0.2%
Florida$6$50394,222+0.2%
Georgia$6$56131,171+0.2%
Idaho$6$433119+0.2%
Illinois$6$49512,468+0.2%
Indiana$6$437143+0.2%
Kansas$6$63162,431+0.2%
Louisiana$6$408621+0.2%
Maine$6$252174+0.2%
Massachusetts$6$541123,441+0.2%
Mississippi$6$358195+0.2%
Missouri$6$269216+0.2%
Nebraska$6$27463+0.2%
Nevada$6$2331,478+0.2%
New Hampshire$6$53520+0.2%
New Jersey$6$61228,038+0.2%
New Mexico$6$393192+0.2%
New York$6$60202,007+0.2%
Rhode Island$6$322187+0.2%
Texas$6$59423,941+0.2%
Puerto Rico$6$71931+0.2%
Arizona$6$5471,245+0.2%
Arkansas$6$187139+0.2%
Kentucky$6$1384330.0%
Maryland$6$57101,0210.0%
Michigan$6$20185570.0%
North Carolina$6$60196,1960.0%
Ohio$6$56214,0140.0%
Oklahoma$6$3481,0950.0%
Pennsylvania$6$52171,5000.0%
Washington$6$54121,9150.0%
California$6$51457,8950.0%
Colorado$6$5798080.0%
Alabama$6$61131,350-0.2%
Minnesota$6$32190692-0.3%
South Dakota$6$399200-0.3%
Hawaii$6$232143-0.5%
Tennessee$6$5362807-0.5%
Oregon$6$317481-0.6%
North Dakota$6$348194-0.8%
Utah$6$168162-0.9%
Virginia$6$3222669-0.9%
Wisconsin$6$6424647-1.1%
Iowa$6$369179-1.2%
Connecticut$6$464118-1.2%
South Carolina$6$2212193-1.4%
West Virginia$6$69723-6.8%

⚠️ 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