82040

Albumin (protein) level

Medicare pricing data for 5,423 providers across 50 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

Albumin (protein) level (HCPCS code 82040) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.73, but hospitals typically charge $17.32 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.95

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.73, your out-of-pocket cost would be approximately $0.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.73
Average Hospital Charge
$17.32
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$17.32
Medicare Allowed$4.73
Medicare Payment$4.73

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $4.73 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$5$11497+2.5%
Massachusetts$5$2052425,239+2.5%
Montana$5$2011102+2.5%
New Mexico$5$1810122+2.5%
North Dakota$5$2128497+2.5%
Rhode Island$5$14101,754+2.5%
Vermont$5$93083+2.5%
Puerto Rico$5$674213+2.5%
Georgia$5$21915,687+2.3%
Hawaii$5$174752+2.3%
Maryland$5$24421,877+2.3%
Nevada$5$20211,223+2.3%
New Hampshire$5$159352+2.3%
South Carolina$5$161044,369+2.3%
South Dakota$5$23411,411+2.3%
Illinois$5$1316018,718+2.1%
Indiana$5$275918,752+2.1%
Michigan$5$1412712,735+2.1%
Minnesota$5$2769213,135+2.1%
Utah$5$1369409+2.1%
Kentucky$5$18331,529+1.9%
Louisiana$5$14513,116+1.9%
Pennsylvania$5$24687,775+1.9%
Wisconsin$5$342249,756+1.9%
Connecticut$5$2023526+1.9%
Iowa$5$201418,272+1.7%
New York$5$2034821,813+1.7%
Virginia$5$15712,830+1.7%
Missouri$5$141582,052+1.5%
Nebraska$5$17674,285+1.5%
Wyoming$5$131461+1.5%
Kansas$5$23556,095+1.3%
Oregon$5$1356554+1.3%
Maine$5$17311,385+1.1%
Mississippi$5$191062,570+1.1%
California$5$1920957,303+1.1%
Colorado$5$20515,269+0.4%
Florida$5$1728346,091+0.2%
Texas$5$1523331,584+0.2%
Arkansas$5$171295,000+0.2%
Idaho$5$11201280.0%
North Carolina$5$1421040,150-0.2%
Tennessee$5$161421,751-0.2%
Washington$5$11496,603-0.2%
Alabama$5$9488,546-0.4%
West Virginia$5$161283-1.1%
Ohio$5$1114424,054-2.5%
Arizona$5$168611,131-4.2%
New Jersey$4$1217144,178-6.1%
Oklahoma$4$26572,539-7.2%

⚠️ 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