82507

Citrate level

Medicare pricing data for 211 providers across 32 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

Citrate level (HCPCS code 82507) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.19, but hospitals typically charge $115.03 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.44

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $27.19, your out-of-pocket cost would be approximately $5.44. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$27.19
Average Hospital Charge
$115.03
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$115.03
Medicare Allowed$27.19
Medicare Payment$27.19

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $27.19 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$27$1781245+0.2%
Illinois$27$105552,557+0.2%
Indiana$27$97116+0.2%
Maryland$27$188455+0.2%
Massachusetts$27$1934229+0.2%
Michigan$27$170216+0.2%
Nevada$27$174292+0.2%
New Mexico$27$82137+0.2%
New York$27$142681+0.2%
Ohio$27$1161093+0.2%
Oklahoma$27$10942,819+0.2%
Tennessee$27$113145+0.2%
Utah$27$60354+0.2%
Puerto Rico$27$312646+0.2%
Colorado$27$137599+0.2%
New Jersey$27$1817521+0.1%
North Carolina$27$11356,957+0.1%
Kansas$27$2127452+0.0%
Florida$27$20891,897-0.1%
Pennsylvania$27$1356278-0.1%
Arizona$27$1583604-0.1%
Texas$27$166191,151-0.3%
Wisconsin$27$2457231-0.6%
Hawaii$27$1242148-1.1%
Minnesota$27$190141,039-1.3%
Alabama$27$150333-1.5%
Oregon$27$88393-1.6%
Washington$27$220550-1.9%
California$26$153191,944-3.5%
Virginia$26$64530-5.9%
Iowa$26$77413-5.9%
Rhode Island$23$45120-15.7%

⚠️ 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