83021

Hemoglobin analysis and measurement, chromatography

Medicare pricing data for 201 providers across 25 states

🤖AI Overview

This procedure has a 5.2x markup — hospitals charge $92.39 but Medicare allows only $17.69. Uninsured patients may face bills 5.2 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

Hemoglobin analysis and measurement, chromatography (HCPCS code 83021) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.69, but hospitals typically charge $92.39 — a 5.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.54

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.69, your out-of-pocket cost would be approximately $3.54. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.69
Average Hospital Charge
$92.39
Markup Ratio
5.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$92.39
Medicare Allowed$17.69
Medicare Payment$17.69

Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $17.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$18$35385,064+0.1%
Iowa$18$59212+0.1%
Kansas$18$75416+0.1%
Kentucky$18$86228+0.1%
Maryland$18$61358+0.1%
Nevada$18$751166+0.1%
Tennessee$18$851180+0.1%
Texas$18$80734+0.1%
Utah$18$37279+0.1%
Alabama$18$379266+0.1%
California$18$633934,735+0.1%
Connecticut$18$96112+0.1%
New Jersey$18$226911,2280.0%
Illinois$18$395793-0.1%
New York$18$1956766-0.1%
Oregon$18$8081,159-0.2%
Virginia$18$46132,144-0.3%
North Carolina$18$1274187-0.4%
Missouri$18$4561,691-0.7%
Minnesota$18$1817102-0.8%
Hawaii$18$31162-1.0%
Ohio$17$72570-1.1%
Pennsylvania$17$54248-1.8%
Michigan$17$39575-2.4%
Wisconsin$17$184351-6.7%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber