Aldolase (enzyme) level
Medicare pricing data for 338 providers across 40 states
This procedure has a 7.7x markup — hospitals charge $72.81 but Medicare allows only $9.45. Uninsured patients may face bills 7.7 times higher than what insurance negotiates. 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
Aldolase (enzyme) level (HCPCS code 82085) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.45, but hospitals typically charge $72.81 — a 7.7x 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 $9.45, your out-of-pocket cost would be approximately $1.89. 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 7.7x more than what Medicare allows for this procedure. Medicare actually pays $9.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $10 | $80 | 3 | 2,006 | +0.7% |
| Illinois | $10 | $79 | 9 | 1,248 | +0.7% |
| Kansas | $10 | $71 | 5 | 1,473 | +0.7% |
| Louisiana | $10 | $57 | 4 | 18 | +0.7% |
| Maryland | $10 | $84 | 7 | 534 | +0.7% |
| Massachusetts | $10 | $64 | 8 | 1,062 | +0.7% |
| Nevada | $10 | $74 | 2 | 353 | +0.7% |
| New Hampshire | $10 | $33 | 5 | 24 | +0.7% |
| New Mexico | $10 | $86 | 1 | 90 | +0.7% |
| Rhode Island | $10 | $36 | 1 | 30 | +0.7% |
| South Dakota | $10 | $53 | 3 | 26 | +0.7% |
| Puerto Rico | $10 | $10 | 57 | 154 | +0.7% |
| Colorado | $10 | $83 | 8 | 294 | +0.7% |
| Connecticut | $10 | $66 | 2 | 33 | +0.7% |
| Florida | $10 | $78 | 12 | 4,729 | +0.6% |
| New York | $10 | $128 | 9 | 1,646 | +0.6% |
| North Carolina | $10 | $75 | 12 | 7,658 | +0.6% |
| Ohio | $10 | $67 | 14 | 1,876 | +0.6% |
| New Jersey | $10 | $76 | 12 | 7,637 | +0.5% |
| Alabama | $10 | $71 | 6 | 1,905 | +0.5% |
| Arizona | $10 | $65 | 4 | 2,421 | +0.5% |
| Pennsylvania | $9 | $70 | 8 | 544 | +0.4% |
| Hawaii | $9 | $44 | 2 | 402 | +0.3% |
| Texas | $9 | $70 | 21 | 5,864 | +0.3% |
| Iowa | $9 | $51 | 5 | 141 | +0.2% |
| Washington | $9 | $69 | 7 | 679 | +0.2% |
| South Carolina | $9 | $28 | 4 | 152 | +0.1% |
| Tennessee | $9 | $78 | 6 | 429 | +0.1% |
| Utah | $9 | $19 | 6 | 725 | +0.1% |
| Kentucky | $9 | $37 | 4 | 94 | 0.0% |
| Oklahoma | $9 | $59 | 6 | 342 | 0.0% |
| Minnesota | $9 | $93 | 11 | 931 | -0.2% |
| Virginia | $9 | $34 | 8 | 383 | -0.2% |
| Maine | $9 | $27 | 1 | 55 | -0.6% |
| Indiana | $9 | $83 | 3 | 125 | -0.7% |
| Oregon | $9 | $38 | 3 | 122 | -1.4% |
| Wisconsin | $9 | $73 | 9 | 242 | -1.5% |
| California | $9 | $67 | 23 | 5,772 | -3.4% |
| Mississippi | $9 | $46 | 8 | 19 | -7.6% |
| Michigan | $6 | $30 | 6 | 120 | -34.3% |
⚠️ 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