83013

Breath test analysis for helicobacter pylori

Medicare pricing data for 1,926 providers across 44 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

Breath test analysis for helicobacter pylori (HCPCS code 83013) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.69, but hospitals typically charge $258.02 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $65.69, your out-of-pocket cost would be approximately $13.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$65.69
Average Hospital Charge
$258.02
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$258.02
Medicare Allowed$65.69
Medicare Payment$65.69

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $65.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Idaho$66$1801130+0.5%
Missouri$66$238546+0.5%
Nebraska$66$1921843+0.5%
New Hampshire$66$2591326+0.5%
North Dakota$66$303737+0.5%
Rhode Island$66$114467+0.5%
South Dakota$66$330371+0.5%
Connecticut$66$299435+0.5%
Indiana$66$34213292+0.4%
Oklahoma$66$22122743+0.4%
Kansas$66$232231,753+0.4%
Massachusetts$66$2451522,460+0.4%
Florida$66$253895,055+0.3%
Maryland$66$236231,597+0.3%
North Carolina$66$288688,968+0.3%
Illinois$66$218442,033+0.3%
Ohio$66$289251,824+0.3%
New York$66$3181342,233+0.2%
California$66$25116215,791+0.2%
Texas$66$2622958,190+0.2%
Arizona$66$275215,340+0.2%
Nevada$66$23333758+0.2%
Washington$66$239481,816+0.2%
Pennsylvania$66$2179211+0.1%
Utah$66$1411073550.0%
Oregon$66$10920310-0.1%
Hawaii$66$1996276-0.1%
Minnesota$66$22133219-0.2%
Colorado$65$26619213-0.3%
Wisconsin$65$2618344-0.4%
Tennessee$65$25945624-0.4%
Virginia$65$1759302-0.6%
Mississippi$65$29455311-0.9%
Kentucky$65$175568-1.0%
Alabama$65$269922,735-1.0%
Arkansas$65$1653382-1.3%
New Jersey$65$262867,006-1.4%
Georgia$65$23168272-1.6%
New Mexico$65$1831735-1.6%
Michigan$65$14929369-1.7%
South Carolina$65$14921110-1.8%
Puerto Rico$64$68412-1.9%
Iowa$63$1891125-3.5%
Alaska$59$3431018-10.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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