G6pd (enzyme) level
Medicare pricing data for 206 providers across 34 states
This procedure has a 10.2x markup — hospitals charge $96.73 but Medicare allows only $9.50. Uninsured patients may face bills 10.2 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
G6pd (enzyme) level (HCPCS code 82955) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.50, but hospitals typically charge $96.73 — a 10.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $9.50, your out-of-pocket cost would be approximately $1.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 10.2x more than what Medicare allows for this procedure. Medicare actually pays $9.50 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $10 | $108 | 8 | 1,608 | +0.1% |
| Georgia | $10 | $119 | 1 | 507 | +0.1% |
| Hawaii | $10 | $58 | 2 | 70 | +0.1% |
| Illinois | $10 | $119 | 5 | 720 | +0.1% |
| Indiana | $10 | $121 | 2 | 12 | +0.1% |
| Iowa | $10 | $54 | 4 | 17 | +0.1% |
| Kansas | $10 | $112 | 5 | 329 | +0.1% |
| Kentucky | $10 | $34 | 2 | 14 | +0.1% |
| Maryland | $10 | $107 | 4 | 191 | +0.1% |
| Massachusetts | $10 | $103 | 4 | 383 | +0.1% |
| Michigan | $10 | $56 | 6 | 20 | +0.1% |
| Nevada | $10 | $94 | 2 | 91 | +0.1% |
| New Mexico | $10 | $94 | 2 | 20 | +0.1% |
| New York | $10 | $115 | 10 | 1,068 | +0.1% |
| North Dakota | $10 | $26 | 2 | 16 | +0.1% |
| Ohio | $10 | $75 | 11 | 420 | +0.1% |
| Oklahoma | $10 | $90 | 4 | 94 | +0.1% |
| Pennsylvania | $10 | $85 | 6 | 229 | +0.1% |
| Texas | $10 | $95 | 14 | 1,844 | +0.1% |
| Utah | $10 | $39 | 6 | 104 | +0.1% |
| Virginia | $10 | $33 | 4 | 77 | +0.1% |
| Puerto Rico | $10 | $11 | 17 | 33 | +0.1% |
| Alabama | $10 | $82 | 3 | 506 | +0.1% |
| Colorado | $10 | $98 | 2 | 100 | +0.1% |
| New Jersey | $10 | $102 | 10 | 4,184 | 0.0% |
| North Carolina | $10 | $79 | 8 | 3,277 | 0.0% |
| Arizona | $10 | $103 | 4 | 683 | 0.0% |
| California | $10 | $89 | 18 | 1,823 | 0.0% |
| Minnesota | $9 | $170 | 5 | 264 | -0.3% |
| Washington | $9 | $96 | 5 | 246 | -0.3% |
| Tennessee | $9 | $84 | 3 | 148 | -0.9% |
| Oregon | $9 | $49 | 4 | 38 | -2.5% |
| Wisconsin | $9 | $88 | 3 | 77 | -2.5% |
| South Carolina | $9 | $25 | 2 | 18 | -4.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber