83497

Hydroxyindolacetic acid (product of metabolism) level

Medicare pricing data for 199 providers across 32 states

🤖AI Overview

This procedure has a 6.4x markup — hospitals charge $81.12 but Medicare allows only $12.62. Uninsured patients may face bills 6.4 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

Hydroxyindolacetic acid (product of metabolism) level (HCPCS code 83497) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.62, but hospitals typically charge $81.12 — a 6.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.52

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.62, your out-of-pocket cost would be approximately $2.52. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$12.62
Average Hospital Charge
$81.12
Markup Ratio
6.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$81.12
Medicare Allowed$12.62
Medicare Payment$12.62

Hospitals charge 6.4x more than what Medicare allows for this procedure. Medicare actually pays $12.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$13$1231257+0.2%
Hawaii$13$62234+0.2%
Illinois$13$799227+0.2%
Indiana$13$120424+0.2%
Iowa$13$87622+0.2%
Kansas$13$1295225+0.2%
Kentucky$13$133703+0.2%
Maine$13$777114+0.2%
Maryland$13$1095112+0.2%
Massachusetts$13$1216180+0.2%
Nevada$13$115276+0.2%
New Jersey$13$1057821+0.2%
New Mexico$13$96124+0.2%
New York$13$1178144+0.2%
North Carolina$13$5657,742+0.2%
Ohio$13$6511126+0.2%
Oklahoma$13$118370+0.2%
Oregon$13$235101+0.2%
Pennsylvania$13$1054136+0.2%
Tennessee$13$71164+0.2%
Virginia$13$31576+0.2%
Washington$13$87647+0.2%
Alabama$13$7210104+0.2%
Arizona$13$924311+0.2%
Colorado$13$194476+0.2%
Florida$13$13577860.0%
Puerto Rico$13$14715-0.2%
Minnesota$13$1905323-0.3%
Texas$13$15013886-0.5%
California$13$107151,492-0.6%
Utah$13$293102-0.7%
Wisconsin$12$109450-1.5%

⚠️ 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