82725

Fatty acids measurement

Medicare pricing data for 78 providers across 14 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

Fatty acids measurement (HCPCS code 82725) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.38, but hospitals typically charge $74.22 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.38, your out-of-pocket cost would be approximately $3.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.38
Average Hospital Charge
$74.22
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$74.22
Medicare Allowed$18.38
Medicare Payment$18.38

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $18.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$18$192479+0.1%
Georgia$18$63223+0.1%
Idaho$18$351202+0.1%
Illinois$18$239218+0.1%
Michigan$18$30159+0.1%
Minnesota$18$158412+0.1%
New York$18$70645+0.1%
Texas$18$1177107+0.1%
Arizona$18$103317+0.1%
Massachusetts$18$78516,8710.0%
North Carolina$18$4933,6500.0%
California$18$15971930.0%
Puerto Rico$18$19858-0.1%
New Jersey$18$135498-0.4%

⚠️ 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