82985

Glycated protein level

Medicare pricing data for 509 providers across 40 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

Glycated protein level (HCPCS code 82985) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.25, but hospitals typically charge $65.95 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.25

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.25, your out-of-pocket cost would be approximately $3.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.25
Average Hospital Charge
$65.95
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$65.95
Medicare Allowed$16.25
Medicare Payment$16.25

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $16.25 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Illinois$16$8371,826+1.0%
Indiana$16$892103+1.0%
Nevada$16$994419+1.0%
New Hampshire$16$49748+1.0%
New Mexico$16$912100+1.0%
Rhode Island$16$39116+1.0%
South Dakota$16$61226+1.0%
Utah$16$353179+1.0%
Colorado$16$826126+1.0%
Connecticut$16$146217+1.0%
Massachusetts$16$4364,876+1.0%
New York$16$794212,742+1.0%
Washington$16$629477+0.9%
Arizona$16$4552,957+0.9%
Georgia$16$1056917+0.7%
Kentucky$16$475281+0.7%
Iowa$16$4315202+0.7%
Maryland$16$7214986+0.7%
Alabama$16$6041,595+0.7%
North Carolina$16$58168,159+0.6%
Kansas$16$964733+0.6%
South Carolina$16$65172,021+0.6%
Hawaii$16$623198+0.4%
Tennessee$16$454229+0.4%
Texas$16$62447,266+0.1%
Missouri$16$2631100.0%
New Jersey$16$646023,315-0.1%
Virginia$16$258837-0.1%
Florida$16$715716,844-0.2%
Ohio$16$62131,839-0.2%
Maine$16$36266-0.4%
California$16$70568,743-0.6%
Minnesota$16$987292-0.7%
Oregon$16$44496-0.7%
Pennsylvania$16$6091,103-0.7%
Wisconsin$16$627307-0.8%
Michigan$16$2913288-2.6%
Puerto Rico$15$191935-8.8%
Oklahoma$14$743138-16.2%
Mississippi$11$503442-32.6%

⚠️ 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