82552

Creatine kinase (cardiac enzyme) level, isoenzymes

Medicare pricing data for 223 providers across 31 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $71.64 but Medicare allows only $13.09. Uninsured patients may face bills 5.5 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

Creatine kinase (cardiac enzyme) level, isoenzymes (HCPCS code 82552) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.09, but hospitals typically charge $71.64 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.62

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.09, your out-of-pocket cost would be approximately $2.62. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.09
Average Hospital Charge
$71.64
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$71.64
Medicare Allowed$13.09
Medicare Payment$13.09

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $13.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$13$991238+0.2%
Hawaii$13$65222+0.2%
Illinois$13$615289+0.2%
Kansas$13$914140+0.2%
Louisiana$13$56412+0.2%
Maryland$13$96498+0.2%
Massachusetts$13$965257+0.2%
New Mexico$13$67123+0.2%
New York$13$11471,330+0.2%
Oklahoma$13$617124+0.2%
Oregon$13$36211+0.2%
Pennsylvania$13$876215+0.2%
South Carolina$13$546126+0.2%
Tennessee$13$55358+0.2%
Utah$13$39386+0.2%
Virginia$13$57624+0.2%
Washington$13$685143+0.2%
Wisconsin$13$40437+0.2%
Puerto Rico$13$152642+0.2%
Colorado$13$72493+0.2%
New Jersey$13$55113,730+0.2%
Florida$13$89131,108+0.1%
North Carolina$13$6271,646+0.1%
Texas$13$81141,338+0.1%
Alabama$13$633445+0.1%
Arizona$13$683545+0.1%
Nevada$13$80282-0.4%
Ohio$13$6010987-0.4%
California$13$73201,426-0.5%
Minnesota$13$186423-4.1%
Michigan$10$27740-20.3%

⚠️ 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