82542

Chemical analysis using chromatography technique

Medicare pricing data for 316 providers across 38 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

Chemical analysis using chromatography technique (HCPCS code 82542) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $23.44, but hospitals typically charge $89.50 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.69

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $23.44, your out-of-pocket cost would be approximately $4.69. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$23.44
Average Hospital Charge
$89.50
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$89.50
Medicare Allowed$23.44
Medicare Payment$23.44

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $23.44 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$24$12245,228+0.7%
Hawaii$24$1282305+0.7%
Illinois$24$12393,305+0.7%
Indiana$24$1264106+0.7%
Iowa$24$113320+0.7%
Kansas$24$9253,130+0.7%
Kentucky$24$2621,408+0.7%
Louisiana$24$603290+0.7%
Mississippi$24$7743,060+0.7%
Nevada$24$12711935+0.7%
New Mexico$24$1972173+0.7%
North Dakota$24$78234+0.7%
South Carolina$24$67364+0.7%
South Dakota$24$136422+0.7%
Virginia$24$1556285+0.7%
Puerto Rico$24$241154+0.7%
Colorado$24$9461,306+0.7%
Florida$24$1091413,066+0.7%
New Jersey$24$133128,975+0.7%
Texas$24$93187,563+0.7%
Arizona$24$9269,270+0.6%
Michigan$24$14179,154+0.6%
Minnesota$24$146143,737+0.6%
Pennsylvania$24$120111,634+0.6%
Tennessee$24$91520,136+0.6%
Alabama$24$876561+0.6%
Washington$24$8061,797+0.4%
Oklahoma$24$12311974+0.3%
New York$24$19181,336+0.3%
New Hampshire$23$479177+0.2%
North Carolina$23$831120,026+0.1%
Utah$23$674240+0.1%
Massachusetts$23$47616,150-0.1%
California$23$1252714,655-0.6%
Ohio$23$531341,395-1.0%
Wisconsin$23$1145273-1.5%
Maryland$23$122251,574-1.7%
Oregon$21$304931-11.0%

⚠️ 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