82652

Dihydroxyvitamin d, 1, 25 level

Medicare pricing data for 583 providers across 44 states

🤖AI Overview

This procedure has a 6.9x markup — hospitals charge $260.62 but Medicare allows only $37.66. Uninsured patients may face bills 6.9 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

Dihydroxyvitamin d, 1, 25 level (HCPCS code 82652) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.66, but hospitals typically charge $260.62 — a 6.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.53

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $37.66, your out-of-pocket cost would be approximately $7.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$37.66
Average Hospital Charge
$260.62
Markup Ratio
6.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$260.62
Medicare Allowed$37.66
Medicare Payment$37.66

Hospitals charge 6.9x more than what Medicare allows for this procedure. Medicare actually pays $37.66 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$38$41115+0.2%
Idaho$38$100231+0.2%
Indiana$38$2193447+0.2%
Louisiana$38$167569+0.2%
New Mexico$38$132894+0.2%
North Dakota$38$178312+0.2%
Rhode Island$38$922107+0.2%
South Carolina$38$128360+0.2%
Tennessee$38$1625716+0.2%
Texas$38$2583813,140+0.2%
Arkansas$38$110312+0.2%
Connecticut$38$1893174+0.2%
Florida$38$2772432,375+0.2%
Georgia$38$293123,870+0.2%
Illinois$38$121117,392+0.2%
Maryland$38$31182,871+0.2%
Massachusetts$38$323293,683+0.2%
New Jersey$38$3035321,373+0.1%
Pennsylvania$38$21982,807+0.1%
Alabama$38$29261,382+0.1%
Kansas$38$32471,899+0.1%
New York$38$2122112,194+0.1%
Ohio$38$247155,289+0.1%
Oklahoma$38$27871,308+0.1%
Puerto Rico$38$4237226+0.1%
Washington$38$2636711+0.1%
North Carolina$38$2491113,792+0.0%
Nevada$38$30832,453-0.0%
Arizona$38$179585,748-0.1%
Utah$38$1565566-0.1%
California$38$3004323,594-0.1%
Hawaii$38$2092515-0.2%
Michigan$38$94131,131-0.3%
Mississippi$37$9610564-0.5%
Wisconsin$37$2306399-0.5%
Oregon$37$1185180-0.6%
Minnesota$37$31229500-0.8%
Kentucky$37$13223223-1.2%
Iowa$37$77576-1.3%
Maine$37$451232-2.3%
Colorado$36$296151,224-3.4%
Virginia$36$164151,241-4.6%
West Virginia$35$173212-6.5%
South Dakota$35$114421-7.7%

⚠️ 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