Alpha-fetoprotein (afp) analysis
Medicare pricing data for 115 providers across 24 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
Alpha-fetoprotein (afp) analysis (HCPCS code 82107) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $63.00, but hospitals typically charge $198.07 — a 3.1x 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 $63.00, your out-of-pocket cost would be approximately $12.60. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $63.00 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $63 | $203 | 1 | 194 | +0.2% |
| Hawaii | $63 | $320 | 2 | 21 | +0.2% |
| Illinois | $63 | $210 | 2 | 92 | +0.2% |
| Kansas | $63 | $220 | 2 | 47 | +0.2% |
| Maryland | $63 | $207 | 2 | 124 | +0.2% |
| New York | $63 | $428 | 4 | 511 | +0.2% |
| Pennsylvania | $63 | $214 | 5 | 43 | +0.2% |
| Tennessee | $63 | $340 | 2 | 113 | +0.2% |
| Washington | $63 | $252 | 3 | 49 | +0.2% |
| Alabama | $63 | $319 | 2 | 40 | +0.2% |
| Texas | $63 | $231 | 11 | 901 | +0.2% |
| Massachusetts | $63 | $205 | 2 | 143 | +0.1% |
| Florida | $63 | $241 | 9 | 771 | +0.1% |
| New Jersey | $63 | $121 | 6 | 6,184 | +0.1% |
| Utah | $63 | $129 | 2 | 461 | +0.1% |
| California | $63 | $213 | 15 | 3,792 | +0.1% |
| Minnesota | $63 | $387 | 2 | 364 | -0.1% |
| Nevada | $63 | $200 | 8 | 253 | -0.1% |
| North Carolina | $63 | $317 | 5 | 1,315 | -0.3% |
| Ohio | $63 | $341 | 4 | 57 | -0.3% |
| Arizona | $63 | $223 | 4 | 382 | -0.3% |
| Colorado | $63 | $243 | 5 | 36 | -0.5% |
| Oklahoma | $61 | $200 | 1 | 29 | -2.5% |
| Virginia | $57 | $96 | 5 | 75 | -9.6% |
⚠️ 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