Tacrolimus level
Medicare pricing data for 784 providers across 44 states
This procedure has a 13.9x markup — hospitals charge $185.62 but Medicare allows only $13.40. Uninsured patients may face bills 13.9 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
Tacrolimus level (HCPCS code 80197) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.40, but hospitals typically charge $185.62 — a 13.9x 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 $13.40, your out-of-pocket cost would be approximately $2.68. 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 13.9x more than what Medicare allows for this procedure. Medicare actually pays $13.40 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $13 | $231 | 17 | 31,630 | +0.4% |
| Louisiana | $13 | $210 | 4 | 310 | +0.4% |
| Massachusetts | $13 | $217 | 8 | 12,475 | +0.4% |
| Missouri | $13 | $224 | 11 | 67 | +0.4% |
| Nebraska | $13 | $173 | 4 | 35 | +0.4% |
| New Jersey | $13 | $208 | 15 | 32,744 | +0.4% |
| Rhode Island | $13 | $49 | 2 | 34 | +0.4% |
| Colorado | $13 | $188 | 8 | 1,418 | +0.4% |
| Connecticut | $13 | $124 | 2 | 69 | +0.4% |
| Georgia | $13 | $221 | 8 | 4,568 | +0.4% |
| New York | $13 | $169 | 11 | 6,139 | +0.4% |
| Tennessee | $13 | $170 | 7 | 2,070 | +0.4% |
| Puerto Rico | $13 | $21 | 27 | 437 | +0.4% |
| California | $13 | $187 | 35 | 55,161 | +0.4% |
| Kansas | $13 | $214 | 11 | 13,137 | +0.3% |
| Texas | $13 | $199 | 57 | 29,317 | +0.3% |
| Oklahoma | $13 | $203 | 5 | 8,104 | +0.2% |
| New Mexico | $13 | $167 | 6 | 1,396 | +0.1% |
| Pennsylvania | $13 | $176 | 9 | 7,228 | +0.1% |
| Alabama | $13 | $204 | 6 | 9,220 | +0.1% |
| Idaho | $13 | $50 | 1 | 578 | 0.0% |
| Michigan | $13 | $137 | 10 | 834 | 0.0% |
| Nevada | $13 | $212 | 5 | 2,234 | 0.0% |
| Utah | $13 | $37 | 8 | 569 | -0.1% |
| Maryland | $13 | $159 | 7 | 7,367 | -0.1% |
| North Carolina | $13 | $184 | 78 | 41,743 | -0.1% |
| Arizona | $13 | $159 | 6 | 22,939 | -0.1% |
| Illinois | $13 | $214 | 21 | 8,967 | -0.3% |
| Minnesota | $13 | $160 | 239 | 12,014 | -0.3% |
| Virginia | $13 | $69 | 10 | 4,764 | -0.3% |
| Indiana | $13 | $235 | 6 | 268 | -0.6% |
| Hawaii | $13 | $118 | 2 | 2,467 | -0.7% |
| Washington | $13 | $137 | 13 | 5,748 | -0.7% |
| Ohio | $13 | $138 | 17 | 9,094 | -0.8% |
| South Dakota | $13 | $143 | 6 | 809 | -0.8% |
| Oregon | $13 | $101 | 7 | 2,500 | -1.0% |
| Mississippi | $13 | $116 | 13 | 1,399 | -1.2% |
| South Carolina | $13 | $104 | 9 | 134 | -1.2% |
| Kentucky | $13 | $57 | 7 | 273 | -2.3% |
| West Virginia | $13 | $207 | 3 | 36 | -2.3% |
| Iowa | $13 | $139 | 13 | 1,376 | -2.8% |
| Maine | $13 | $121 | 2 | 1,166 | -2.8% |
| North Dakota | $13 | $136 | 9 | 890 | -3.1% |
| Wisconsin | $13 | $124 | 23 | 7,781 | -4.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber