80183

Oxcarbazepine level

Medicare pricing data for 216 providers across 37 states

🤖AI Overview

This procedure has a 8.9x markup — hospitals charge $115.09 but Medicare allows only $12.95. Uninsured patients may face bills 8.9 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

Oxcarbazepine level (HCPCS code 80183) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.95, but hospitals typically charge $115.09 — a 8.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.59

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.

Average Allowed Cost
$12.95
Average Hospital Charge
$115.09
Markup Ratio
8.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$115.09
Medicare Allowed$12.95
Medicare Payment$12.95

Hospitals charge 8.9x 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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$13$10410706+0.2%
Georgia$13$1243356+0.2%
Hawaii$13$66214+0.2%
Illinois$13$1039175+0.2%
Indiana$13$130121+0.2%
Kansas$13$1176186+0.2%
Louisiana$13$512115+0.2%
Maine$13$42221+0.2%
Maryland$13$1013100+0.2%
Mississippi$13$39229+0.2%
Missouri$13$37443+0.2%
New Jersey$13$12781,236+0.2%
Ohio$13$8412524+0.2%
Oklahoma$13$726107+0.2%
Oregon$13$87456+0.2%
Pennsylvania$13$1107211+0.2%
Rhode Island$13$47215+0.2%
South Dakota$13$72325+0.2%
Tennessee$13$1883141+0.2%
Texas$13$106201,079+0.2%
Virginia$13$865302+0.2%
Washington$13$1264148+0.2%
Alabama$13$1474222+0.2%
Arizona$13$1123110+0.2%
Colorado$13$975146+0.2%
Massachusetts$13$1065372+0.2%
California$13$9519648+0.2%
North Carolina$13$15071,9810.0%
New York$13$1087293-0.1%
Wisconsin$13$543144-0.4%
Utah$13$30584-0.8%
Nevada$13$772124-1.2%
Minnesota$13$1896174-1.5%
New Mexico$12$62219-3.6%
Iowa$12$46313-5.9%
South Carolina$12$100514-6.9%
Michigan$11$84515-12.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber