82610

Cystatin c (enzyme inhibitor) level

Medicare pricing data for 501 providers across 39 states

🤖AI Overview

This procedure has a 6.7x markup — hospitals charge $120.97 but Medicare allows only $18.10. Uninsured patients may face bills 6.7 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

Cystatin c (enzyme inhibitor) level (HCPCS code 82610) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.10, but hospitals typically charge $120.97 — a 6.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.62

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.10, your out-of-pocket cost would be approximately $3.62. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.10
Average Hospital Charge
$120.97
Markup Ratio
6.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$120.97
Medicare Allowed$18.10
Medicare Payment$18.10

Hospitals charge 6.7x more than what Medicare allows for this procedure. Medicare actually pays $18.10 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$18$1395679+0.3%
Indiana$18$140234+0.3%
Kansas$18$1593579+0.3%
Louisiana$18$117429+0.3%
Maryland$18$1614963+0.3%
Massachusetts$18$5166,923+0.3%
Michigan$18$128655+0.3%
Mississippi$18$159312+0.3%
New Mexico$18$1141152+0.3%
Oregon$18$65584+0.3%
Pennsylvania$18$769709+0.3%
Puerto Rico$18$191115+0.3%
Alabama$18$2022335+0.3%
Colorado$18$1836951+0.3%
Florida$18$122381,869+0.2%
New York$18$93103,253+0.2%
Missouri$18$2221907+0.2%
South Dakota$18$6515912+0.2%
New Jersey$18$1297812,764+0.1%
Ohio$18$135101,952+0.1%
California$18$1094616,231+0.1%
North Carolina$18$186105,131+0.1%
Nevada$18$15626310.0%
Oklahoma$18$13643530.0%
Arizona$18$15865,2390.0%
Illinois$18$53393,334-0.1%
Washington$18$14829830-0.1%
Utah$18$373482-0.1%
Virginia$18$1195231-0.1%
Minnesota$18$140484,878-0.2%
Texas$18$139328,390-0.2%
Kentucky$18$666183-0.3%
Tennessee$18$113214,895-0.4%
Hawaii$18$822713-0.5%
Wisconsin$18$1297791-0.9%
South Carolina$18$554158-0.9%
Iowa$18$46593-1.4%
District of Columbia$18$56170-2.2%
Connecticut$18$360130-2.7%

⚠️ 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