82248

Bilirubin level, direct

Medicare pricing data for 7,382 providers across 50 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

Bilirubin level, direct (HCPCS code 82248) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.85, but hospitals typically charge $22.08 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.85, your out-of-pocket cost would be approximately $0.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.85
Average Hospital Charge
$22.08
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$22.08
Medicare Allowed$4.85
Medicare Payment$4.85

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $4.85 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$5$113114+1.4%
Georgia$5$2813217,608+1.4%
Maryland$5$278010,443+1.4%
Massachusetts$5$2563134,535+1.4%
Nevada$5$243311,683+1.4%
New Hampshire$5$1815226+1.4%
New Mexico$5$25172,913+1.4%
South Carolina$5$18875,454+1.4%
Utah$5$16612,696+1.4%
Wyoming$5$1827179+1.4%
Puerto Rico$5$6151724+1.4%
Mississippi$5$2258682+1.2%
Missouri$5$191289,784+1.2%
Nebraska$5$11461,455+1.2%
North Dakota$5$1735986+1.2%
Rhode Island$5$10103,716+1.2%
Tennessee$5$1734410,481+1.2%
Florida$5$2844987,813+1.0%
Indiana$5$23951,398+1.0%
Iowa$5$151351,925+1.0%
Kansas$5$268710,417+1.0%
Arkansas$5$2412724,553+1.0%
Colorado$5$19665,191+1.0%
Louisiana$5$25748,915+0.8%
Minnesota$5$261,02220,395+0.8%
Montana$5$1814318+0.8%
New Jersey$5$22147181,885+0.8%
North Carolina$5$2127495,363+0.8%
South Dakota$5$2158326+0.8%
Idaho$5$271898+0.6%
Illinois$5$2829313,572+0.6%
Pennsylvania$5$246914,628+0.6%
Hawaii$5$6310,752+0.4%
Oklahoma$5$11345,206+0.4%
Texas$5$1945275,494+0.4%
Alaska$5$572542+0.4%
California$5$24289102,580+0.2%
West Virginia$5$20302460.0%
Kentucky$5$15801,871-0.2%
Wisconsin$5$381182,660-0.4%
Ohio$5$1715334,366-0.6%
Oregon$5$17921,199-0.6%
Washington$5$172047,483-0.6%
Michigan$5$11805,748-1.6%
Connecticut$5$2464959-3.1%
Arizona$5$1710826,818-3.5%
Virginia$5$161823,973-3.7%
Alabama$5$1612327,882-3.9%
New York$5$2248558,049-5.8%
Maine$4$1156433-14.6%

⚠️ 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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