82272

Stool analysis for blood, by peroxidase activity

Medicare pricing data for 6,112 providers across 52 states

🤖AI Overview

This procedure has a 5.8x markup — hospitals charge $23.87 but Medicare allows only $4.13. Uninsured patients may face bills 5.8 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

Stool analysis for blood, by peroxidase activity (HCPCS code 82272) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.13, but hospitals typically charge $23.87 — a 5.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.83

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.13, your out-of-pocket cost would be approximately $0.83. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.13
Average Hospital Charge
$23.87
Markup Ratio
5.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$23.87
Medicare Allowed$4.13
Medicare Payment$4.13

Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $4.13 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$4$191594+0.5%
District of Columbia$4$14412+0.5%
Florida$4$142692,526+0.5%
Idaho$4$121926+0.5%
Indiana$4$1590224+0.5%
Iowa$4$1594417+0.5%
Kansas$4$2376323+0.5%
Maine$4$171113+0.5%
Minnesota$4$16103173+0.5%
Missouri$4$1993332+0.5%
Montana$4$161755+0.5%
Nebraska$4$1156280+0.5%
Nevada$4$182233+0.5%
New Mexico$4$2119101+0.5%
North Dakota$4$242994+0.5%
Oregon$4$174168+0.5%
South Carolina$4$17285866+0.5%
South Dakota$4$172078+0.5%
Utah$4$1432115+0.5%
Vermont$4$272495+0.5%
Washington$4$1284265+0.5%
Wyoming$4$11926+0.5%
Puerto Rico$4$61427+0.5%
Alaska$4$402767+0.5%
Arizona$4$5762833+0.5%
California$4$192221,666+0.5%
Colorado$4$1479135+0.5%
Louisiana$4$1659256+0.2%
Maryland$4$1490325+0.2%
Massachusetts$4$192501,195+0.2%
Mississippi$4$241291,501+0.2%
New Hampshire$4$1432162+0.2%
Ohio$4$17154433+0.2%
Pennsylvania$4$202951,495+0.2%
Texas$4$552882,701+0.2%
Virginia$4$202401,470+0.2%
Connecticut$4$12111414+0.2%
Illinois$4$301191,4910.0%
Michigan$4$14952360.0%
New Jersey$4$251542,2290.0%
New York$4$256327,2650.0%
Wisconsin$4$361191980.0%
Georgia$4$202661,089-0.2%
Kentucky$4$1283264-0.2%
North Carolina$4$175271,550-0.2%
Tennessee$4$172991,410-0.2%
Alabama$4$10128676-0.2%
Oklahoma$4$2259407-0.5%
Rhode Island$4$144399-0.5%
West Virginia$4$242146-1.7%
Hawaii$4$138137-1.9%
Arkansas$4$1987327-3.6%

⚠️ 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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