Testing for presence of drug, read by instrument assisted observation
Medicare pricing data for 853 providers across 28 states
This procedure has a 5.4x markup — hospitals charge $89.60 but Medicare allows only $16.56. Uninsured patients may face bills 5.4 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
Testing for presence of drug, read by instrument assisted observation (HCPCS code 80306) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.56, but hospitals typically charge $89.60 — 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 $16.56, your out-of-pocket cost would be approximately $3.31. 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 $16.56 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Indiana | $17 | $32 | 4 | 12 | +1.4% |
| Iowa | $17 | $54 | 3 | 11 | +1.4% |
| Missouri | $17 | $73 | 9 | 17 | +1.4% |
| Montana | $17 | $343 | 3 | 11 | +1.4% |
| North Dakota | $17 | $70 | 12 | 26 | +1.4% |
| Utah | $17 | $69 | 3 | 64 | +1.4% |
| Wyoming | $17 | $42 | 6 | 21 | +1.4% |
| Arizona | $17 | $62 | 7 | 14 | +1.4% |
| Colorado | $17 | $238 | 11 | 205 | +1.4% |
| Florida | $17 | $177 | 7 | 243 | +1.3% |
| New York | $17 | $53 | 14 | 883 | +1.1% |
| California | $17 | $62 | 5 | 654 | +1.0% |
| Wisconsin | $17 | $125 | 292 | 1,477 | +1.0% |
| North Carolina | $17 | $78 | 8 | 117 | +0.9% |
| Alabama | $17 | $41 | 20 | 245 | +0.8% |
| Alaska | $17 | $83 | 26 | 69 | +0.5% |
| Washington | $17 | $37 | 19 | 454 | +0.5% |
| South Dakota | $17 | $32 | 11 | 159 | +0.4% |
| Minnesota | $17 | $50 | 263 | 1,264 | +0.2% |
| Mississippi | $17 | $50 | 8 | 118 | +0.1% |
| Georgia | $17 | $58 | 15 | 194 | -0.2% |
| Idaho | $16 | $90 | 4 | 347 | -0.8% |
| Nevada | $16 | $172 | 1 | 15 | -0.8% |
| Oklahoma | $16 | $170 | 12 | 129 | -1.8% |
| Texas | $16 | $119 | 20 | 974 | -1.9% |
| Arkansas | $16 | $109 | 17 | 865 | -2.2% |
| Oregon | $16 | $47 | 15 | 83 | -3.4% |
| Pennsylvania | $15 | $337 | 5 | 13 | -12.0% |
⚠️ 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