Infrared analysis of stone
Medicare pricing data for 186 providers across 35 states
This procedure has a 7.5x markup — hospitals charge $95.18 but Medicare allows only $12.63. Uninsured patients may face bills 7.5 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
Infrared analysis of stone (HCPCS code 82365) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.63, but hospitals typically charge $95.18 — a 7.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.63, your out-of-pocket cost would be approximately $2.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 7.5x more than what Medicare allows for this procedure. Medicare actually pays $12.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $13 | $96 | 10 | 1,664 | +0.1% |
| Georgia | $13 | $110 | 2 | 516 | +0.1% |
| Hawaii | $13 | $84 | 3 | 81 | +0.1% |
| Illinois | $13 | $100 | 3 | 11,843 | +0.1% |
| Iowa | $13 | $54 | 3 | 26 | +0.1% |
| Kansas | $13 | $107 | 4 | 456 | +0.1% |
| Kentucky | $13 | $37 | 2 | 70 | +0.1% |
| Maryland | $13 | $73 | 5 | 87 | +0.1% |
| Massachusetts | $13 | $101 | 2 | 327 | +0.1% |
| Nevada | $13 | $100 | 1 | 107 | +0.1% |
| New Hampshire | $13 | $42 | 5 | 29 | +0.1% |
| New Mexico | $13 | $95 | 1 | 25 | +0.1% |
| Oklahoma | $13 | $111 | 4 | 161 | +0.1% |
| Pennsylvania | $13 | $101 | 7 | 264 | +0.1% |
| South Carolina | $13 | $25 | 2 | 81 | +0.1% |
| South Dakota | $13 | $58 | 3 | 25 | +0.1% |
| Tennessee | $13 | $52 | 4 | 165 | +0.1% |
| Utah | $13 | $34 | 4 | 239 | +0.1% |
| Virginia | $13 | $71 | 5 | 205 | +0.1% |
| Alabama | $13 | $51 | 4 | 48 | +0.1% |
| Colorado | $13 | $81 | 5 | 167 | +0.1% |
| Connecticut | $13 | $46 | 1 | 16 | +0.1% |
| Texas | $13 | $105 | 14 | 1,168 | 0.0% |
| California | $13 | $91 | 16 | 1,822 | 0.0% |
| Minnesota | $13 | $135 | 6 | 367 | -0.1% |
| New Jersey | $13 | $91 | 6 | 1,922 | -0.1% |
| New York | $13 | $78 | 9 | 642 | -0.1% |
| Ohio | $13 | $74 | 10 | 353 | -0.2% |
| North Carolina | $13 | $56 | 5 | 795 | -0.2% |
| Indiana | $13 | $70 | 2 | 163 | -0.4% |
| Oregon | $13 | $38 | 3 | 306 | -0.4% |
| Arizona | $13 | $120 | 4 | 702 | -0.4% |
| Wisconsin | $13 | $159 | 8 | 317 | -0.7% |
| Washington | $12 | $35 | 4 | 122 | -1.6% |
| Michigan | $8 | $25 | 5 | 14 | -39.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber