83018

Heavy metal level

Medicare pricing data for 159 providers across 29 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

Heavy metal level (HCPCS code 83018) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.70, but hospitals typically charge $77.99 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $19.70, your out-of-pocket cost would be approximately $3.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$19.70
Average Hospital Charge
$77.99
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$77.99
Medicare Allowed$19.70
Medicare Payment$19.70

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $19.70 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$22$146101,057+9.2%
Georgia$22$1281334+9.2%
Hawaii$22$961116+9.2%
Illinois$22$158172+9.2%
Kansas$22$1223155+9.2%
Louisiana$22$49117+9.2%
Maine$22$398112+9.2%
Massachusetts$22$149242+9.2%
Nevada$22$1201107+9.2%
New Mexico$22$100222+9.2%
New York$22$170539+9.2%
Ohio$22$9610181+9.2%
Oklahoma$22$116468+9.2%
Oregon$22$59470+9.2%
Pennsylvania$22$2897,134+9.2%
Tennessee$22$176262+9.2%
Utah$22$51496+9.2%
Virginia$22$814104+9.2%
Washington$22$1594786+9.2%
Wisconsin$22$164436+9.2%
Arizona$22$1494303+9.2%
Colorado$22$114498+9.2%
Maryland$22$1245182+9.1%
Texas$22$1159674+9.1%
New Jersey$21$14772,181+9.0%
California$21$119171,928+8.9%
Alabama$21$124480+8.2%
Indiana$21$165144+7.5%
North Carolina$12$4293,685-39.9%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber