82941

Gastrin (gi tract hormone) level

Medicare pricing data for 187 providers across 31 states

🤖AI Overview

This procedure has a 5.8x markup — hospitals charge $99.10 but Medicare allows only $17.16. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. 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

Gastrin (gi tract hormone) level (HCPCS code 82941) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.16, but hospitals typically charge $99.10 — a 5.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.43

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.16, your out-of-pocket cost would be approximately $3.43. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.16
Average Hospital Charge
$99.10
Markup Ratio
5.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$99.10
Medicare Allowed$17.16
Medicare Payment$17.16

Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $17.16 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$17$981155+0.7%
Illinois$17$93294+0.7%
Indiana$17$61219+0.7%
Iowa$17$54421+0.7%
Kansas$17$1023134+0.7%
Maryland$17$904151+0.7%
Massachusetts$17$935127+0.7%
Nevada$17$94281+0.7%
New Mexico$17$42112+0.7%
Ohio$17$8610110+0.7%
Oklahoma$17$93372+0.7%
Pennsylvania$17$80461+0.7%
Tennessee$17$74132+0.7%
Utah$17$35267+0.7%
Virginia$17$38445+0.7%
Washington$17$94487+0.7%
Wisconsin$17$123359+0.7%
Puerto Rico$17$1930108+0.7%
Alabama$17$88381+0.7%
Colorado$17$102465+0.7%
Texas$17$8510518+0.6%
Florida$17$1048702+0.6%
New Jersey$17$9410889+0.6%
North Carolina$17$10671,307+0.6%
Minnesota$17$1624362+0.4%
Arizona$17$1124666+0.4%
New York$17$1368250+0.3%
Oregon$17$55435-1.5%
Hawaii$17$782106-3.2%
California$16$8516750-3.9%
Rhode Island$16$50111-7.1%

⚠️ 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