82139

Amino acid level, 6 or more amino acids, quantitative, each specimen

Medicare pricing data for 93 providers across 16 states

🤖AI Overview

This procedure has a 11.6x markup — hospitals charge $191.15 but Medicare allows only $16.51. Uninsured patients may face bills 11.6 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Amino acid level, 6 or more amino acids, quantitative, each specimen (HCPCS code 82139) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.51, but hospitals typically charge $191.15 — a 11.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.30

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.51, your out-of-pocket cost would be approximately $3.30. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.51
Average Hospital Charge
$191.15
Markup Ratio
11.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$191.15
Medicare Allowed$16.51
Medicare Payment$16.51

Hospitals charge 11.6x more than what Medicare allows for this procedure. Medicare actually pays $16.51 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$17$647693+0.1%
Georgia$17$7081125+0.1%
Illinois$17$1953128+0.1%
Kansas$17$735126+0.1%
Maryland$17$645212+0.1%
Massachusetts$17$685319+0.1%
New York$17$395628+0.1%
Ohio$17$299617+0.1%
Oregon$17$33383+0.1%
Pennsylvania$17$724458+0.1%
Texas$17$642431+0.1%
Arizona$17$6943139+0.1%
California$17$7227178+0.1%
North Carolina$17$10875,6130.0%
New Jersey$16$5985270-0.2%
Minnesota$16$339952-2.2%

⚠️ 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