Phenobarbital level
Medicare pricing data for 433 providers across 44 states
This procedure has a 5.4x markup — hospitals charge $80.60 but Medicare allows only $14.96. Uninsured patients may face bills 5.4 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
Phenobarbital level (HCPCS code 80184) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.96, but hospitals typically charge $80.60 — a 5.4x 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 $14.96, your out-of-pocket cost would be approximately $2.99. 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 5.4x more than what Medicare allows for this procedure. Medicare actually pays $14.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $15 | $26 | 2 | 22 | +0.2% |
| Georgia | $15 | $91 | 7 | 1,012 | +0.2% |
| Illinois | $15 | $70 | 37 | 917 | +0.2% |
| Indiana | $15 | $88 | 4 | 37 | +0.2% |
| Iowa | $15 | $49 | 6 | 61 | +0.2% |
| Kansas | $15 | $101 | 6 | 476 | +0.2% |
| Kentucky | $15 | $28 | 5 | 63 | +0.2% |
| Louisiana | $15 | $54 | 7 | 376 | +0.2% |
| Maine | $15 | $41 | 2 | 39 | +0.2% |
| Maryland | $15 | $97 | 10 | 268 | +0.2% |
| Michigan | $15 | $37 | 9 | 223 | +0.2% |
| Mississippi | $15 | $61 | 4 | 102 | +0.2% |
| Missouri | $15 | $37 | 5 | 39 | +0.2% |
| Nebraska | $15 | $41 | 2 | 14 | +0.2% |
| New Hampshire | $15 | $72 | 5 | 21 | +0.2% |
| New Jersey | $15 | $107 | 12 | 2,275 | +0.2% |
| New Mexico | $15 | $222 | 2 | 39 | +0.2% |
| New York | $15 | $91 | 12 | 354 | +0.2% |
| North Dakota | $15 | $56 | 7 | 31 | +0.2% |
| Oklahoma | $15 | $63 | 7 | 277 | +0.2% |
| Oregon | $15 | $63 | 5 | 61 | +0.2% |
| Pennsylvania | $15 | $78 | 12 | 432 | +0.2% |
| Rhode Island | $15 | $33 | 1 | 28 | +0.2% |
| South Carolina | $15 | $36 | 5 | 82 | +0.2% |
| Tennessee | $15 | $75 | 7 | 302 | +0.2% |
| Utah | $15 | $30 | 5 | 33 | +0.2% |
| Wisconsin | $15 | $97 | 7 | 184 | +0.2% |
| Puerto Rico | $15 | $19 | 12 | 22 | +0.2% |
| Alabama | $15 | $95 | 8 | 564 | +0.2% |
| Arizona | $15 | $100 | 5 | 233 | +0.2% |
| Arkansas | $15 | $30 | 3 | 85 | +0.2% |
| Colorado | $15 | $88 | 5 | 125 | +0.2% |
| Florida | $15 | $62 | 23 | 1,807 | +0.1% |
| Nevada | $15 | $46 | 4 | 399 | +0.1% |
| Ohio | $15 | $81 | 20 | 1,364 | +0.1% |
| California | $15 | $77 | 33 | 1,786 | +0.1% |
| North Carolina | $15 | $89 | 12 | 2,260 | 0.0% |
| South Dakota | $15 | $48 | 4 | 63 | -0.1% |
| Texas | $15 | $86 | 33 | 1,617 | -0.5% |
| Minnesota | $15 | $87 | 31 | 138 | -0.5% |
| Washington | $15 | $82 | 8 | 130 | -0.6% |
| Massachusetts | $15 | $70 | 7 | 746 | -1.1% |
| Virginia | $15 | $50 | 17 | 387 | -1.1% |
| Hawaii | $14 | $61 | 2 | 39 | -4.3% |
⚠️ 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