82595

Cryoglobulin (protein) measurement

Medicare pricing data for 217 providers across 33 states

🤖AI Overview

This procedure has a 13.2x markup — hospitals charge $83.78 but Medicare allows only $6.33. Uninsured patients may face bills 13.2 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Cryoglobulin (protein) measurement (HCPCS code 82595) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.33, but hospitals typically charge $83.78 — a 13.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.33, your out-of-pocket cost would be approximately $1.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.33
Average Hospital Charge
$83.78
Markup Ratio
13.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$83.78
Medicare Allowed$6.33
Medicare Payment$6.33

Hospitals charge 13.2x more than what Medicare allows for this procedure. Medicare actually pays $6.33 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Minnesota$6$7422572+0.5%
California$6$104221,563+0.3%
Georgia$6$1312236+0.2%
Hawaii$6$27249+0.2%
Illinois$6$1253203+0.2%
Kansas$6$1235268+0.2%
Maine$6$12116+0.2%
Maryland$6$8311107+0.2%
Massachusetts$6$1253172+0.2%
Nebraska$6$30115+0.2%
Nevada$6$109144+0.2%
New Jersey$6$7041,120+0.2%
New Mexico$6$93131+0.2%
Oklahoma$6$75471+0.2%
Oregon$6$30334+0.2%
Pennsylvania$6$94694+0.2%
South Dakota$6$70116+0.2%
Tennessee$6$44347+0.2%
Utah$6$14336+0.2%
Virginia$6$22447+0.2%
Washington$6$747124+0.2%
Wisconsin$6$67472+0.2%
Alabama$6$41476+0.2%
Colorado$6$774102+0.2%
Connecticut$6$55219+0.2%
Florida$6$12188670.0%
Ohio$6$4784130.0%
Arizona$6$4432940.0%
New York$6$649445-0.2%
North Carolina$6$417885-0.2%
Texas$6$102221,082-0.2%
Indiana$6$41736-2.2%
Iowa$6$28427-3.2%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber