82390

Ceruloplasmin (protein) level

Medicare pricing data for 502 providers across 41 states

🤖AI Overview

This procedure has a 7.6x markup — hospitals charge $79.44 but Medicare allows only $10.51. Uninsured patients may face bills 7.6 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

Ceruloplasmin (protein) level (HCPCS code 82390) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.51, but hospitals typically charge $79.44 — a 7.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.10

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $10.51, your out-of-pocket cost would be approximately $2.10. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$10.51
Average Hospital Charge
$79.44
Markup Ratio
7.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$79.44
Medicare Allowed$10.51
Medicare Payment$10.51

Hospitals charge 7.6x more than what Medicare allows for this procedure. Medicare actually pays $10.51 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$11$9131,262+0.2%
Indiana$11$113454+0.2%
Kentucky$11$422146+0.2%
Louisiana$11$63524+0.2%
Massachusetts$11$76531,193+0.2%
Missouri$11$20214+0.2%
New Hampshire$11$39527+0.2%
New Mexico$11$431100+0.2%
North Carolina$11$75126,495+0.2%
Oklahoma$11$795362+0.2%
Pennsylvania$11$998538+0.2%
Rhode Island$11$35138+0.2%
South Carolina$11$59446+0.2%
South Dakota$11$63465+0.2%
Florida$11$88163,727+0.1%
Kansas$11$8461,182+0.1%
Nevada$11$993387+0.1%
New Jersey$11$79334,696+0.1%
New York$11$91111,305+0.1%
Texas$11$85244,774+0.1%
California$11$83315,502+0.1%
Illinois$11$97588780.0%
Ohio$11$65131,6540.0%
Puerto Rico$11$1240680.0%
Alabama$11$7161,2760.0%
Colorado$11$8773280.0%
Maryland$11$628746-0.1%
Arizona$11$8052,012-0.1%
Minnesota$10$10239584-0.2%
Hawaii$10$502197-0.4%
Virginia$10$316446-0.4%
Michigan$10$468127-0.5%
Washington$10$649708-0.8%
Tennessee$10$5311397-0.9%
Iowa$10$327148-1.0%
Wisconsin$10$9910390-1.0%
Mississippi$10$91475-1.5%
Utah$10$2119134-1.9%
North Dakota$10$47522-2.1%
Oregon$10$466157-2.3%
Maine$10$96216-5.4%

⚠️ 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