Hemoglobin analysis and measurement, electrophoresis
Medicare pricing data for 823 providers across 42 states
This procedure has a 6.8x markup — hospitals charge $95.72 but Medicare allows only $14.03. Uninsured patients may face bills 6.8 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
Hemoglobin analysis and measurement, electrophoresis (HCPCS code 83020) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.03, but hospitals typically charge $95.72 — a 6.8x 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 $14.03, your out-of-pocket cost would be approximately $2.81. 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 6.8x more than what Medicare allows for this procedure. Medicare actually pays $12.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $19 | $54 | 3 | 26 | +38.7% |
| Connecticut | $18 | $57 | 11 | 135 | +28.0% |
| Delaware | $17 | $82 | 3 | 13 | +24.5% |
| Missouri | $17 | $47 | 13 | 119 | +23.4% |
| Vermont | $17 | $88 | 3 | 17 | +22.8% |
| Nebraska | $17 | $42 | 1 | 17 | +19.3% |
| South Carolina | $17 | $77 | 11 | 435 | +18.8% |
| Hawaii | $16 | $49 | 6 | 152 | +17.2% |
| Pennsylvania | $16 | $79 | 35 | 543 | +17.0% |
| Michigan | $16 | $66 | 44 | 748 | +16.7% |
| Louisiana | $16 | $63 | 11 | 140 | +16.2% |
| Tennessee | $16 | $75 | 7 | 127 | +16.0% |
| Arkansas | $16 | $39 | 3 | 119 | +15.1% |
| New York | $16 | $84 | 48 | 1,134 | +14.1% |
| Kentucky | $16 | $58 | 8 | 74 | +13.0% |
| Washington | $16 | $149 | 14 | 137 | +12.9% |
| Indiana | $16 | $65 | 27 | 187 | +12.0% |
| Rhode Island | $16 | $104 | 5 | 56 | +11.3% |
| Massachusetts | $15 | $120 | 26 | 656 | +7.8% |
| Alabama | $15 | $93 | 13 | 1,286 | +7.8% |
| Mississippi | $15 | $59 | 11 | 67 | +7.5% |
| Ohio | $15 | $79 | 63 | 996 | +7.2% |
| Virginia | $15 | $71 | 11 | 230 | +7.2% |
| Iowa | $15 | $77 | 4 | 26 | +7.0% |
| Florida | $15 | $84 | 76 | 6,642 | +5.1% |
| New Mexico | $15 | $434 | 1 | 27 | +3.6% |
| Kansas | $14 | $108 | 9 | 301 | +1.9% |
| Wisconsin | $14 | $80 | 18 | 366 | +1.1% |
| Oklahoma | $14 | $78 | 8 | 55 | -1.5% |
| Texas | $14 | $98 | 47 | 2,641 | -2.6% |
| Oregon | $13 | $58 | 7 | 25 | -4.1% |
| North Carolina | $13 | $99 | 33 | 2,585 | -5.2% |
| California | $13 | $140 | 45 | 2,956 | -5.4% |
| Minnesota | $13 | $110 | 17 | 171 | -5.6% |
| Illinois | $13 | $40 | 54 | 5,344 | -6.1% |
| Maryland | $13 | $147 | 8 | 563 | -7.3% |
| New Jersey | $13 | $141 | 49 | 5,558 | -7.6% |
| Georgia | $13 | $158 | 8 | 658 | -9.5% |
| Nevada | $13 | $164 | 1 | 208 | -10.1% |
| Puerto Rico | $13 | $14 | 32 | 61 | -10.1% |
| Arizona | $13 | $83 | 5 | 370 | -10.1% |
| Colorado | $13 | $159 | 3 | 42 | -10.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber