81374

Hla class i typing, low resolution one antigen equivalent

Medicare pricing data for 115 providers across 24 states

🤖AI Overview

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

Hla class i typing, low resolution one antigen equivalent (HCPCS code 81374) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $72.60, but hospitals typically charge $220.66 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.52

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $72.60, your out-of-pocket cost would be approximately $14.52. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$72.60
Average Hospital Charge
$220.66
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$220.66
Medicare Allowed$72.60
Medicare Payment$72.60

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $72.60 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Washington$73$1945816+0.6%
Florida$73$2806136+0.3%
Georgia$73$2781203+0.3%
Kansas$73$235293+0.3%
Massachusetts$73$264242+0.3%
Michigan$73$174233+0.3%
Minnesota$73$2031722+0.3%
New York$73$3468511+0.3%
Oregon$73$237411+0.3%
Pennsylvania$73$215432+0.3%
South Carolina$73$164266+0.3%
Tennessee$73$1974195+0.3%
Texas$73$2686361+0.3%
Alabama$73$21011,037+0.3%
Arizona$73$2302522+0.3%
North Carolina$73$21237,476+0.3%
Ohio$73$20271,123+0.2%
New Jersey$73$1596481+0.1%
California$72$23581,668-0.3%
Illinois$72$259587-0.6%
Utah$72$149171-1.0%
Wisconsin$71$5325124-1.8%
Nevada$69$198126-5.3%
Virginia$40$56362-44.4%

⚠️ 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