82374

Carbon dioxide (bicarbonate) level

Medicare pricing data for 740 providers across 35 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

Carbon dioxide (bicarbonate) level (HCPCS code 82374) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.48, but hospitals typically charge $8.59 — a 1.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.48, your out-of-pocket cost would be approximately $0.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.48
Average Hospital Charge
$8.59
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$8.59
Medicare Allowed$4.48
Medicare Payment$4.48

Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $4.48 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$5$102216+6.7%
Nebraska$5$20344+6.7%
Pennsylvania$5$1015398+6.7%
South Carolina$5$177143+6.7%
South Dakota$5$30814+6.7%
Puerto Rico$5$91212+6.7%
Connecticut$5$10322+6.7%
Massachusetts$5$925673+6.5%
Nevada$5$9492+6.5%
Oregon$5$12322+6.5%
Georgia$5$96922+6.2%
Minnesota$5$362431,232+6.2%
Michigan$5$1240457+6.0%
Virginia$5$141057+6.0%
New York$5$11151,888+4.2%
California$5$126210,016+3.3%
Florida$5$9233,862+2.2%
Illinois$5$7181,734+2.2%
Iowa$5$16724+2.2%
Kansas$5$691,188+1.6%
Texas$5$10338,623+1.3%
Arizona$4$741,309+0.2%
Louisiana$4$9121090.0%
Alabama$4$622,476-0.7%
New Jersey$4$6128,722-1.1%
Washington$4$5121,551-2.0%
Tennessee$4$727384-3.1%
Wisconsin$4$4027253-3.1%
Indiana$4$21413-3.3%
North Carolina$4$6197,094-3.3%
Ohio$4$5189,007-3.3%
Colorado$4$53923-3.6%
Oklahoma$4$9161,266-11.4%
Mississippi$4$18561-16.5%
Missouri$3$5439-28.8%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber