82945

Glucose (sugar) level on body fluid

Medicare pricing data for 219 providers across 34 states

🤖AI Overview

This procedure has a 8.0x markup — hospitals charge $30.70 but Medicare allows only $3.84. Uninsured patients may face bills 8.0 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

Glucose (sugar) level on body fluid (HCPCS code 82945) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $3.84, but hospitals typically charge $30.70 — a 8.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.77

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $3.84, your out-of-pocket cost would be approximately $0.77. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$3.84
Average Hospital Charge
$30.70
Markup Ratio
8.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$30.70
Medicare Allowed$3.84
Medicare Payment$3.84

Hospitals charge 8.0x more than what Medicare allows for this procedure. Medicare actually pays $3.84 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$4$22235+0.3%
Indiana$4$35311+0.3%
Iowa$4$17449+0.3%
Kansas$4$861,876+0.3%
Maine$4$106789+0.3%
Maryland$4$45319+0.3%
Minnesota$4$748411+0.3%
Mississippi$4$2731,429+0.3%
Missouri$4$744,773+0.3%
Nevada$4$442148+0.3%
New Jersey$4$3071,659+0.3%
New York$4$2314277+0.3%
North Dakota$4$65214+0.3%
Oregon$4$32316+0.3%
South Dakota$4$23512+0.3%
Tennessee$4$33323+0.3%
Texas$4$378494+0.3%
Utah$4$8227+0.3%
Wisconsin$4$46425+0.3%
Arizona$4$413256+0.3%
Colorado$4$38418+0.3%
Connecticut$4$48112+0.3%
North Carolina$4$4952870.0%
Ohio$4$1476190.0%
California$4$482016,3230.0%
Alabama$4$6104,132-0.3%
Massachusetts$4$1516297-0.8%
Florida$4$34141,563-1.0%
Georgia$4$194931-1.3%
Pennsylvania$4$136302-1.3%
Illinois$4$51349-1.8%
Virginia$4$17569-2.3%
Oklahoma$4$36417-5.2%
Washington$4$2410151-8.1%

⚠️ 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