Analysis using chemiluminescent technique (light and chemical )reaction
Medicare pricing data for 198 providers across 29 states
This procedure has a 10.3x markup — hospitals charge $141.81 but Medicare allows only $13.83. Uninsured patients may face bills 10.3 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
Analysis using chemiluminescent technique (light and chemical )reaction (HCPCS code 82397) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.83, but hospitals typically charge $141.81 — a 10.3x 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 $13.83, your out-of-pocket cost would be approximately $2.77. 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 10.3x more than what Medicare allows for this procedure. Medicare actually pays $13.83 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $14 | $136 | 8 | 726 | +0.2% |
| Florida | $14 | $91 | 12 | 1,454 | +0.1% |
| Illinois | $14 | $67 | 7 | 31 | +0.1% |
| Kansas | $14 | $175 | 3 | 185 | +0.1% |
| Maine | $14 | $232 | 1 | 14 | +0.1% |
| Michigan | $14 | $144 | 4 | 17 | +0.1% |
| New Hampshire | $14 | $97 | 7 | 15 | +0.1% |
| New Jersey | $14 | $147 | 8 | 2,408 | +0.1% |
| New Mexico | $14 | $124 | 1 | 161 | +0.1% |
| New York | $14 | $194 | 9 | 461 | +0.1% |
| North Carolina | $14 | $169 | 7 | 2,515 | +0.1% |
| Oklahoma | $14 | $440 | 5 | 38 | +0.1% |
| Pennsylvania | $14 | $414 | 1 | 18 | +0.1% |
| South Dakota | $14 | $87 | 2 | 48 | +0.1% |
| Tennessee | $14 | $221 | 2 | 30 | +0.1% |
| Texas | $14 | $171 | 15 | 1,111 | +0.1% |
| Utah | $14 | $61 | 4 | 16 | +0.1% |
| Virginia | $14 | $70 | 5 | 64 | +0.1% |
| Wisconsin | $14 | $150 | 7 | 109 | +0.1% |
| Colorado | $14 | $164 | 7 | 165 | +0.1% |
| California | $14 | $126 | 21 | 9,920 | 0.0% |
| Ohio | $14 | $155 | 10 | 657 | -0.1% |
| Alabama | $14 | $158 | 3 | 757 | -0.1% |
| Minnesota | $14 | $253 | 9 | 488 | -0.3% |
| Oregon | $14 | $141 | 5 | 95 | -0.9% |
| Washington | $14 | $171 | 4 | 364 | -1.0% |
| Iowa | $14 | $104 | 6 | 67 | -1.2% |
| Hawaii | $14 | $150 | 2 | 66 | -1.4% |
| Maryland | $14 | $53 | 4 | 38 | -2.2% |
⚠️ 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