82247

Bilirubin level, total

Medicare pricing data for 3,634 providers across 50 states

🤖AI Overview

This procedure has a 5.2x markup — hospitals charge $25.05 but Medicare allows only $4.81. Uninsured patients may face bills 5.2 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

Bilirubin level, total (HCPCS code 82247) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.81, but hospitals typically charge $25.05 — a 5.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.96

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.81, your out-of-pocket cost would be approximately $0.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.81
Average Hospital Charge
$25.05
Markup Ratio
5.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$25.05
Medicare Allowed$4.81
Medicare Payment$4.81

Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $4.81 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$5$1524929+2.5%
Delaware$5$10487+2.3%
Massachusetts$5$1524911,036+2.3%
Montana$5$15514+2.3%
New Mexico$5$17898+2.3%
North Dakota$5$391031+2.3%
Rhode Island$5$1181,307+2.3%
South Carolina$5$24633,427+2.3%
Utah$5$1022200+2.3%
Vermont$5$123295+2.3%
Wyoming$5$141137+2.3%
Puerto Rico$5$64190+2.3%
Mississippi$5$16971,570+2.1%
Missouri$5$131256,454+2.1%
Indiana$5$224218,175+1.9%
Nevada$5$1422407+1.9%
California$5$48196160,807+1.9%
Georgia$5$16744,245+1.7%
Iowa$5$16861,096+1.7%
Kentucky$5$1321160+1.7%
Louisiana$5$11401,838+1.7%
Michigan$5$14539,989+1.7%
Minnesota$5$3837811,059+1.7%
Pennsylvania$5$10383,390+1.7%
Virginia$5$9814,067+1.7%
Illinois$5$712814,145+1.5%
New Hampshire$5$111096+1.5%
Kansas$5$20476,778+1.2%
Oregon$5$1640328+0.8%
Idaho$5$15983+0.6%
Maine$5$1512856+0.6%
Nebraska$5$1731112+0.6%
New York$5$1730612,304+0.6%
Florida$5$1118340,316+0.2%
South Dakota$5$1921760.0%
Alabama$5$73812,4610.0%
Texas$5$1019328,118-0.2%
Wisconsin$5$471911,921-0.2%
North Carolina$5$1315639,796-0.4%
Tennessee$5$141141,570-0.4%
West Virginia$5$121042-0.4%
Colorado$5$12383,219-0.8%
Hawaii$5$3092,750-1.0%
Connecticut$5$161474-1.0%
Washington$5$7534,170-2.3%
Ohio$5$812116,916-2.7%
Arizona$5$10719,633-5.4%
New Jersey$4$73134,132-8.7%
Oklahoma$4$15351,531-10.2%
Arkansas$4$731374-20.8%

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

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