Mycophenolate (mycophenolic acid) level
Medicare pricing data for 131 providers across 22 states
This procedure has a 10.8x markup — hospitals charge $190.98 but Medicare allows only $17.63. Uninsured patients may face bills 10.8 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Mycophenolate (mycophenolic acid) level (HCPCS code 80180) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.63, but hospitals typically charge $190.98 — a 10.8x 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 $17.63, your out-of-pocket cost would be approximately $3.53. 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 10.8x more than what Medicare allows for this procedure. Medicare actually pays $17.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $18 | $215 | 1 | 56 | +0.3% |
| Kansas | $18 | $214 | 2 | 51 | +0.3% |
| Massachusetts | $18 | $224 | 2 | 30 | +0.3% |
| Nevada | $18 | $219 | 1 | 84 | +0.3% |
| New Jersey | $18 | $202 | 5 | 708 | +0.3% |
| New Mexico | $18 | $102 | 1 | 20 | +0.3% |
| New York | $18 | $155 | 4 | 152 | +0.3% |
| North Carolina | $18 | $156 | 4 | 451 | +0.3% |
| Ohio | $18 | $165 | 5 | 49 | +0.3% |
| Oregon | $18 | $92 | 4 | 15 | +0.3% |
| Utah | $18 | $41 | 2 | 28 | +0.3% |
| Virginia | $18 | $216 | 3 | 32 | +0.3% |
| Washington | $18 | $108 | 2 | 86 | +0.3% |
| Alabama | $18 | $164 | 4 | 258 | +0.3% |
| Illinois | $18 | $219 | 4 | 2,070 | +0.3% |
| California | $18 | $121 | 11 | 1,382 | +0.3% |
| Texas | $18 | $217 | 7 | 324 | +0.1% |
| Wisconsin | $18 | $100 | 4 | 134 | -0.3% |
| Minnesota | $18 | $227 | 29 | 1,926 | -0.5% |
| Florida | $18 | $255 | 4 | 352 | -0.6% |
| Arizona | $17 | $169 | 4 | 390 | -1.4% |
| South Dakota | $17 | $109 | 2 | 38 | -3.1% |
⚠️ 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