82777

Galectin-3 level

Medicare pricing data for 74 providers across 19 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Galectin-3 level (HCPCS code 82777) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $41.88, but hospitals typically charge $101.62 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $41.88, your out-of-pocket cost would be approximately $8.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$41.88
Average Hospital Charge
$101.62
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$101.62
Medicare Allowed$41.88
Medicare Payment$41.88

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $41.88 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$43$83147+3.5%
Kansas$43$99252+3.5%
Maryland$43$841123+3.5%
Nevada$43$84130+3.5%
New Jersey$43$1365550+3.5%
New York$43$137212+3.5%
North Carolina$43$1993315+3.5%
Ohio$43$8432,512+3.5%
Pennsylvania$43$58423+3.5%
Texas$43$1207472+3.5%
Washington$43$1033206+3.5%
Alabama$43$204138+3.5%
Arizona$43$2052188+3.5%
California$43$1188333+3.5%
Colorado$43$162216+3.5%
Florida$43$1044192+3.4%
Illinois$43$831200+3.2%
Minnesota$43$85239+1.5%
Massachusetts$27$313521-36.0%

⚠️ 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