Measurement of pancreatic elastase (enzyme) in stool
Medicare pricing data for 258 providers across 38 states
This procedure has a 12.0x markup — hospitals charge $268.84 but Medicare allows only $22.48. Uninsured patients may face bills 12.0 times higher than what insurance negotiates. Prices vary significantly by location — from $8 in Michigan to $23 in Florida. Where you get this procedure matters more than almost any other factor. 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
Measurement of pancreatic elastase (enzyme) in stool (HCPCS code 82653) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.48, but hospitals typically charge $268.84 — a 12.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $22.48, your out-of-pocket cost would be approximately $4.50. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 12.0x more than what Medicare allows for this procedure. Medicare actually pays $22.48 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $23 | $314 | 7 | 5,888 | +0.1% |
| Georgia | $23 | $321 | 1 | 1,406 | +0.1% |
| Illinois | $23 | $317 | 5 | 418 | +0.1% |
| Indiana | $23 | $326 | 1 | 87 | +0.1% |
| Iowa | $23 | $113 | 5 | 38 | +0.1% |
| Kansas | $23 | $321 | 4 | 852 | +0.1% |
| Louisiana | $23 | $300 | 2 | 17 | +0.1% |
| Maine | $23 | $176 | 2 | 43 | +0.1% |
| Maryland | $23 | $243 | 5 | 760 | +0.1% |
| Nevada | $23 | $320 | 2 | 473 | +0.1% |
| New Mexico | $23 | $150 | 1 | 188 | +0.1% |
| North Dakota | $23 | $152 | 3 | 14 | +0.1% |
| Pennsylvania | $23 | $275 | 4 | 654 | +0.1% |
| South Carolina | $23 | $301 | 2 | 26 | +0.1% |
| South Dakota | $23 | $112 | 3 | 70 | +0.1% |
| Colorado | $23 | $323 | 3 | 203 | +0.1% |
| Connecticut | $23 | $120 | 2 | 31 | +0.1% |
| Massachusetts | $23 | $324 | 7 | 1,375 | +0.1% |
| North Carolina | $23 | $248 | 7 | 21,873 | +0.1% |
| Texas | $23 | $284 | 14 | 3,152 | +0.1% |
| California | $23 | $299 | 21 | 4,219 | +0.1% |
| New Jersey | $22 | $300 | 44 | 5,488 | +0.0% |
| New York | $22 | $358 | 8 | 1,032 | +0.0% |
| Ohio | $22 | $212 | 9 | 1,188 | 0.0% |
| Oklahoma | $22 | $269 | 3 | 539 | -0.0% |
| Arizona | $22 | $308 | 3 | 3,193 | -0.0% |
| Alabama | $22 | $263 | 2 | 1,447 | -0.1% |
| Virginia | $22 | $121 | 5 | 568 | -0.2% |
| Tennessee | $22 | $94 | 4 | 996 | -0.2% |
| Minnesota | $22 | $95 | 30 | 524 | -0.3% |
| Wisconsin | $22 | $328 | 7 | 419 | -0.3% |
| Utah | $22 | $47 | 4 | 384 | -0.4% |
| Rhode Island | $22 | $68 | 1 | 127 | -0.5% |
| Washington | $22 | $286 | 6 | 708 | -0.8% |
| Oregon | $22 | $154 | 3 | 159 | -0.8% |
| Hawaii | $22 | $224 | 2 | 99 | -1.5% |
| Mississippi | $22 | $75 | 3 | 144 | -2.8% |
| Michigan | $8 | $39 | 4 | 12 | -63.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber