Alpha-1-antitrypsin (protein) blood test, phenotype
Medicare pricing data for 173 providers across 34 states
This procedure has a 9.9x markup — hospitals charge $140.45 but Medicare allows only $14.13. Uninsured patients may face bills 9.9 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
Alpha-1-antitrypsin (protein) blood test, phenotype (HCPCS code 82104) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.13, but hospitals typically charge $140.45 — a 9.9x 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 $14.13, your out-of-pocket cost would be approximately $2.83. 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 9.9x more than what Medicare allows for this procedure. Medicare actually pays $14.13 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $14 | $179 | 2 | 502 | +0.3% |
| Hawaii | $14 | $123 | 2 | 23 | +0.3% |
| Indiana | $14 | $152 | 1 | 22 | +0.3% |
| Iowa | $14 | $46 | 4 | 23 | +0.3% |
| Kansas | $14 | $158 | 5 | 510 | +0.3% |
| Maryland | $14 | $146 | 4 | 165 | +0.3% |
| Massachusetts | $14 | $177 | 3 | 218 | +0.3% |
| Missouri | $14 | $306 | 2 | 44 | +0.3% |
| Nevada | $14 | $169 | 2 | 122 | +0.3% |
| New Mexico | $14 | $56 | 1 | 50 | +0.3% |
| New York | $14 | $125 | 6 | 321 | +0.3% |
| Oklahoma | $14 | $135 | 4 | 133 | +0.3% |
| Oregon | $14 | $39 | 3 | 41 | +0.3% |
| Rhode Island | $14 | $34 | 1 | 12 | +0.3% |
| South Carolina | $14 | $167 | 3 | 33 | +0.3% |
| South Dakota | $14 | $125 | 2 | 44 | +0.3% |
| Tennessee | $14 | $91 | 3 | 77 | +0.3% |
| Texas | $14 | $145 | 10 | 1,240 | +0.3% |
| Utah | $14 | $31 | 4 | 171 | +0.3% |
| Virginia | $14 | $70 | 5 | 123 | +0.3% |
| Alabama | $14 | $112 | 3 | 471 | +0.3% |
| Colorado | $14 | $122 | 4 | 95 | +0.3% |
| North Carolina | $14 | $108 | 7 | 1,944 | +0.2% |
| New Jersey | $14 | $137 | 10 | 1,089 | +0.1% |
| Arizona | $14 | $154 | 3 | 699 | +0.1% |
| Florida | $14 | $175 | 6 | 1,691 | +0.1% |
| Illinois | $14 | $253 | 4 | 211 | -0.1% |
| Ohio | $14 | $104 | 11 | 468 | -0.1% |
| Pennsylvania | $14 | $138 | 6 | 120 | -0.5% |
| Minnesota | $14 | $157 | 5 | 218 | -0.6% |
| Wisconsin | $14 | $133 | 5 | 138 | -1.0% |
| Washington | $14 | $131 | 6 | 191 | -1.1% |
| Puerto Rico | $14 | $15 | 6 | 11 | -1.2% |
| California | $14 | $145 | 17 | 1,104 | -1.6% |
⚠️ 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