82164

Angiotensin l - converting enzyme (ace) level

Medicare pricing data for 296 providers across 40 states

🤖AI Overview

This procedure has a 8.1x markup — hospitals charge $115.83 but Medicare allows only $14.24. Uninsured patients may face bills 8.1 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

Angiotensin l - converting enzyme (ace) level (HCPCS code 82164) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.24, but hospitals typically charge $115.83 — a 8.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.85

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.24, your out-of-pocket cost would be approximately $2.85. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$14.24
Average Hospital Charge
$115.83
Markup Ratio
8.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$115.83
Medicare Allowed$14.24
Medicare Payment$14.24

Hospitals charge 8.1x more than what Medicare allows for this procedure. Medicare actually pays $14.24 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$14$138153,812+0.5%
Georgia$14$14841,033+0.5%
Hawaii$14$67263+0.5%
Idaho$14$86236+0.5%
Illinois$14$15610862+0.5%
Maine$14$64232+0.5%
New Hampshire$14$62715+0.5%
New Mexico$14$1382113+0.5%
North Dakota$14$61331+0.5%
Pennsylvania$14$1409506+0.5%
Rhode Island$14$35124+0.5%
South Dakota$14$68518+0.5%
Texas$14$112213,832+0.5%
Utah$14$303262+0.5%
Puerto Rico$14$162251+0.5%
Alabama$14$914854+0.5%
Colorado$14$994187+0.5%
Massachusetts$14$1284778+0.4%
New Jersey$14$117158,535+0.4%
Nevada$14$1412437+0.4%
North Carolina$14$104117,569+0.4%
New York$14$110203,844+0.3%
Ohio$14$93141,469+0.3%
Kansas$14$1266848+0.2%
Oklahoma$14$1333327+0.2%
Arizona$14$10741,397+0.2%
Maryland$14$1307453+0.1%
Tennessee$14$915300-0.1%
Washington$14$1197411-0.1%
Minnesota$14$1787628-0.1%
Virginia$14$376405-0.4%
Iowa$14$68591-0.4%
Indiana$14$102290-0.6%
Wisconsin$14$1417336-0.7%
South Carolina$14$53446-1.3%
Connecticut$14$107139-1.4%
Oregon$14$63472-1.5%
Kentucky$14$54367-2.0%
California$14$124253,955-2.3%
Michigan$9$366117-38.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber