82172

Apolipoprotein level

Medicare pricing data for 573 providers across 42 states

🤖AI Overview

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

Apolipoprotein level (HCPCS code 82172) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.57, but hospitals typically charge $39.74 — a 1.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.11

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.57, your out-of-pocket cost would be approximately $4.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$20.57
Average Hospital Charge
$39.74
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$39.74
Medicare Allowed$20.57
Medicare Payment$20.57

Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $20.57 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$21$2787,922+0.5%
Idaho$21$45113+0.5%
Indiana$21$95357+0.5%
Iowa$21$76413+0.5%
Kansas$21$2783,839+0.5%
Kentucky$21$49337+0.5%
Maine$21$89219+0.5%
Maryland$21$31149,777+0.5%
Nevada$21$2642,965+0.5%
New Hampshire$21$73255+0.5%
North Dakota$21$5326,360+0.5%
Pennsylvania$21$32101,401+0.5%
Rhode Island$21$34114+0.5%
South Dakota$21$63326+0.5%
Utah$21$455516+0.5%
Connecticut$21$101217+0.5%
Illinois$21$2692,895+0.4%
Missouri$21$22842,042+0.4%
New York$21$64127,238+0.4%
Puerto Rico$21$2231118+0.4%
California$21$394240,638+0.4%
Massachusetts$21$29510,814+0.4%
Colorado$21$33192,307+0.4%
Texas$21$394733,990+0.3%
Arizona$21$56419,493+0.3%
Oklahoma$21$4671,412+0.3%
Florida$21$357861,675+0.2%
Michigan$21$39172,146+0.2%
New Jersey$21$362532,359+0.2%
North Carolina$21$532223,823+0.2%
Tennessee$21$277718+0.2%
Washington$21$28104,428+0.2%
Wisconsin$21$697290+0.2%
Oregon$21$414870+0.1%
Hawaii$21$612369-0.1%
Alabama$21$3161,616-0.1%
Minnesota$21$1205593-0.2%
New Mexico$21$636129-0.3%
South Carolina$21$55211,961-0.3%
Ohio$20$281516,785-0.9%
Virginia$19$368718-8.7%
Louisiana$14$26431,768-32.5%

⚠️ 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