82525

Copper level

Medicare pricing data for 324 providers across 38 states

🤖AI Overview

This procedure has a 6.6x markup — hospitals charge $80.21 but Medicare allows only $12.12. Uninsured patients may face bills 6.6 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

Copper level (HCPCS code 82525) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.12, but hospitals typically charge $80.21 — a 6.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.42

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.12, your out-of-pocket cost would be approximately $2.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$12.12
Average Hospital Charge
$80.21
Markup Ratio
6.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$80.21
Medicare Allowed$12.12
Medicare Payment$12.12

Hospitals charge 6.6x more than what Medicare allows for this procedure. Medicare actually pays $12.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$12$9083,100+0.3%
Illinois$12$10561,143+0.3%
Indiana$12$1024170+0.3%
Kentucky$12$484102+0.3%
Louisiana$12$54423+0.3%
Maine$12$62117+0.3%
Massachusetts$12$814372+0.3%
Mississippi$12$312467+0.3%
Nevada$12$653360+0.3%
New Mexico$12$932145+0.3%
New York$12$6112759+0.3%
South Dakota$12$53533+0.3%
Puerto Rico$12$131867+0.3%
Colorado$12$966702+0.3%
Florida$12$93145,789+0.2%
Kansas$12$9471,751+0.2%
Maryland$12$908822+0.2%
Pennsylvania$12$3482,514+0.2%
Texas$12$78257,015+0.2%
Washington$12$82101,759+0.2%
North Carolina$12$771416,197+0.2%
Utah$12$309706+0.2%
Arizona$12$10043,973+0.2%
Minnesota$12$1196585+0.1%
Ohio$12$83132,273+0.1%
Oklahoma$12$837671+0.1%
Virginia$12$286634+0.1%
Alabama$12$8341,2750.0%
New Jersey$12$791410,577-0.1%
Hawaii$12$672265-0.2%
Tennessee$12$435487-0.2%
California$12$82278,880-1.1%
Iowa$12$356155-1.2%
Wisconsin$12$968199-1.3%
South Carolina$12$81884-1.6%
Oregon$12$528396-1.7%
North Dakota$12$60840-2.1%
Michigan$11$61881-9.9%

⚠️ 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