82715

Stool fat differential measurement, quantitative

Medicare pricing data for 4 providers across 2 states

🤖AI Overview

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 differential measurement, quantitative (HCPCS code 82715) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.49, but hospitals typically charge $40.06 — a 1.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.50

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $22.49, 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.

Average Allowed Cost
$22.49
Average Hospital Charge
$40.06
Markup Ratio
1.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$40.06
Medicare Allowed$22.49
Medicare Payment$22.49

Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $22.49 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$23$30113+0.1%
North Carolina$22$40115,3360.0%

⚠️ 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