82175

Arsenic level

Medicare pricing data for 196 providers across 34 states

🤖AI Overview

This procedure has a 6.7x markup — hospitals charge $121.97 but Medicare allows only $18.21. Uninsured patients may face bills 6.7 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

Arsenic level (HCPCS code 82175) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.21, but hospitals typically charge $121.97 — a 6.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.21, your out-of-pocket cost would be approximately $3.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.21
Average Hospital Charge
$121.97
Markup Ratio
6.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$121.97
Medicare Allowed$18.21
Medicare Payment$18.21

Hospitals charge 6.7x more than what Medicare allows for this procedure. Medicare actually pays $18.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$19$182133,248+2.1%
Georgia$19$1872958+2.1%
Illinois$19$186343+2.1%
Indiana$19$92220+2.1%
Kentucky$19$66215+2.1%
Louisiana$19$88312+2.1%
Maryland$19$1704185+2.1%
Massachusetts$19$193233+2.1%
Mississippi$19$289229+2.1%
Nevada$19$1862364+2.1%
New Mexico$19$52373+2.1%
Pennsylvania$19$3672,215+2.1%
South Carolina$19$80235+2.1%
Tennessee$19$1043300+2.1%
Utah$19$453194+2.1%
Arizona$19$1594433+2.1%
Colorado$19$1633142+2.1%
New Jersey$19$143124,198+2.0%
New York$19$637407+2.0%
Kansas$19$1745411+1.9%
Alabama$19$1515192+1.9%
Ohio$19$13911411+1.9%
Texas$19$151141,423+1.8%
Iowa$19$59318+1.6%
Hawaii$18$972462+1.5%
Oregon$18$435111+1.4%
Oklahoma$18$154393+1.3%
California$18$167162,430+1.0%
Minnesota$18$140460+1.0%
Washington$18$1147388+0.1%
Wisconsin$18$147321-1.4%
North Carolina$18$9199,798-3.3%
Michigan$17$57835-6.9%
Virginia$17$394278-8.1%

⚠️ 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