82705

Stool fat or lipids analysis, qualitative

Medicare pricing data for 234 providers across 35 states

🤖AI Overview

This procedure has a 12.4x markup — hospitals charge $61.96 but Medicare allows only $4.99. Uninsured patients may face bills 12.4 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

Stool fat or lipids analysis, qualitative (HCPCS code 82705) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.99, but hospitals typically charge $61.96 — a 12.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.99, your out-of-pocket cost would be approximately $1.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.99
Average Hospital Charge
$61.96
Markup Ratio
12.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$61.96
Medicare Allowed$4.99
Medicare Payment$4.99

Hospitals charge 12.4x more than what Medicare allows for this procedure. Medicare actually pays $4.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Mississippi$5$612156+3.2%
Maryland$5$488401+0.8%
Florida$5$88122,434+0.2%
Georgia$5$872563+0.2%
Illinois$5$725170+0.2%
Indiana$5$56121+0.2%
Kansas$5$844220+0.2%
Louisiana$5$85324+0.2%
Massachusetts$5$754778+0.2%
Minnesota$5$21325+0.2%
Nevada$5$892110+0.2%
New Hampshire$5$161222+0.2%
New Mexico$5$95173+0.2%
New York$5$6810376+0.2%
North Dakota$5$34215+0.2%
Ohio$5$879639+0.2%
Oklahoma$5$624106+0.2%
Pennsylvania$5$875315+0.2%
Utah$5$166182+0.2%
Virginia$5$397113+0.2%
Washington$5$9418527+0.2%
Wisconsin$5$42549+0.2%
Puerto Rico$5$61025+0.2%
Arizona$5$8231,124+0.2%
New Jersey$5$341111,5940.0%
North Carolina$5$9663,4230.0%
Texas$5$87131,4560.0%
Alabama$5$9231,3750.0%
Arkansas$5$1125830.0%
California$5$74182,1670.0%
Oregon$5$38595-0.8%
Hawaii$5$462121-1.0%
Tennessee$5$5011166-1.0%
Colorado$5$77461-1.2%
Kentucky$4$5334-19.4%

⚠️ 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