82075

Measurement of alcohol level in breath specimen

Medicare pricing data for 396 providers across 23 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

Measurement of alcohol level in breath specimen (HCPCS code 82075) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.99, but hospitals typically charge $50.11 — a 1.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.80

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $28.99, your out-of-pocket cost would be approximately $5.80. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$28.99
Average Hospital Charge
$50.11
Markup Ratio
1.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$50.11
Medicare Allowed$28.99
Medicare Payment$28.99

Hospitals charge 1.7x more than what Medicare allows for this procedure. Medicare actually pays $28.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Montana$29$5010475+1.4%
New Mexico$29$48851+1.4%
South Carolina$29$506157+1.4%
West Virginia$29$51181,556+1.4%
Wyoming$29$50160+1.4%
Arizona$29$6119384+1.4%
Kentucky$29$45451,014+1.3%
Maryland$29$508622+1.3%
Idaho$29$508593+1.3%
Oregon$29$5010527+1.1%
Alaska$29$5018240+1.1%
Ohio$29$9211206+0.8%
Colorado$29$54492,307+0.7%
North Carolina$29$308272+0.6%
California$29$6218209+0.6%
Georgia$29$493107+0.4%
Minnesota$29$549157+0.4%
North Dakota$29$5014607-0.1%
Washington$29$50441,566-0.4%
Michigan$29$438128-1.0%
Arkansas$29$50151,243-1.1%
Alabama$27$30468-7.5%
Virginia$25$3726535-12.7%

⚠️ 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