Detection of pancreatic elastase (enzyme) in stool
Medicare pricing data for 59 providers across 13 states
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
Detection of pancreatic elastase (enzyme) in stool (HCPCS code 82656) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.28, but hospitals typically charge $29.63 — a 2.6x 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 $11.28, your out-of-pocket cost would be approximately $2.26. 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 2.6x more than what Medicare allows for this procedure. Medicare actually pays $11.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $11 | $25 | 3 | 5,040 | +0.2% |
| Kentucky | $11 | $41 | 1 | 66 | +0.2% |
| Michigan | $11 | $78 | 4 | 40 | +0.2% |
| New York | $11 | $254 | 3 | 242 | +0.2% |
| Ohio | $11 | $23 | 1 | 386 | +0.2% |
| Oklahoma | $11 | $306 | 1 | 90 | +0.2% |
| California | $11 | $26 | 3 | 34 | +0.2% |
| New Jersey | $11 | $24 | 7 | 14,374 | 0.0% |
| Illinois | $11 | $52 | 4 | 249 | -0.2% |
| Maryland | $11 | $36 | 5 | 441 | -0.4% |
| Virginia | $11 | $288 | 5 | 74 | -1.1% |
| Florida | $11 | $33 | 3 | 65 | -1.2% |
| South Carolina | $11 | $17 | 2 | 49 | -1.6% |
⚠️ 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