Ketone bodies analysis, quantitative
Medicare pricing data for 199 providers across 28 states
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
Ketone bodies analysis, quantitative (HCPCS code 82010) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.98, but hospitals typically charge $27.28 — a 3.4x 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 $7.98, your out-of-pocket cost would be approximately $1.60. 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 3.4x more than what Medicare allows for this procedure. Medicare actually pays $7.98 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $8 | $27 | 10 | 1,116 | +0.4% |
| Kansas | $8 | $24 | 4 | 1,737 | +0.4% |
| Maine | $8 | $15 | 6 | 781 | +0.4% |
| Maryland | $8 | $105 | 2 | 19 | +0.4% |
| Massachusetts | $8 | $32 | 6 | 245 | +0.4% |
| Minnesota | $8 | $88 | 10 | 160 | +0.4% |
| Missouri | $8 | $22 | 5 | 4,583 | +0.4% |
| Nevada | $8 | $56 | 3 | 27 | +0.4% |
| New Jersey | $8 | $98 | 6 | 341 | +0.4% |
| New York | $8 | $36 | 14 | 415 | +0.4% |
| North Dakota | $8 | $58 | 3 | 18 | +0.4% |
| Ohio | $8 | $22 | 11 | 552 | +0.4% |
| Oklahoma | $8 | $84 | 4 | 18 | +0.4% |
| Oregon | $8 | $61 | 5 | 14 | +0.4% |
| Pennsylvania | $8 | $78 | 5 | 11 | +0.4% |
| Tennessee | $8 | $76 | 2 | 17 | +0.4% |
| Texas | $8 | $85 | 11 | 110 | +0.4% |
| Virginia | $8 | $56 | 6 | 17 | +0.4% |
| Washington | $8 | $94 | 5 | 41 | +0.4% |
| Arizona | $8 | $103 | 4 | 68 | +0.4% |
| Colorado | $8 | $95 | 4 | 16 | +0.4% |
| North Carolina | $8 | $104 | 4 | 150 | +0.3% |
| California | $8 | $78 | 22 | 381 | +0.3% |
| Alabama | $8 | $13 | 9 | 4,126 | -0.5% |
| Georgia | $8 | $37 | 4 | 919 | -1.1% |
| Hawaii | $8 | $31 | 2 | 33 | -1.3% |
| Wisconsin | $8 | $66 | 6 | 25 | -3.1% |
| Illinois | $7 | $137 | 5 | 24 | -8.0% |
⚠️ 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