83521

Measurement of immunoglobulin light chains

Medicare pricing data for 1,497 providers across 45 states

🤖AI Overview

This procedure has a 7.7x markup — hospitals charge $129.71 but Medicare allows only $16.89. Uninsured patients may face bills 7.7 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

Measurement of immunoglobulin light chains (HCPCS code 83521) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.89, but hospitals typically charge $129.71 — a 7.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.89, your out-of-pocket cost would be approximately $3.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.89
Average Hospital Charge
$129.71
Markup Ratio
7.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$129.71
Medicare Allowed$16.89
Medicare Payment$16.89

Hospitals charge 7.7x more than what Medicare allows for this procedure. Medicare actually pays $16.89 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Louisiana$17$139382+0.2%
Minnesota$17$13533024,343+0.2%
New Hampshire$17$591294+0.2%
Rhode Island$17$352178+0.2%
Alaska$17$70154+0.2%
Georgia$17$172716,171+0.2%
Maryland$17$17454,686+0.2%
Nevada$17$17422,342+0.2%
Connecticut$17$674112+0.2%
Indiana$17$9941,295+0.1%
Kansas$17$168719,767+0.1%
Massachusetts$17$2061215,619+0.1%
Nebraska$17$3933,338+0.1%
New Jersey$17$15391127,103+0.1%
South Dakota$17$6751,950+0.1%
California$17$1433491,414+0.1%
Colorado$17$985110,029+0.1%
Florida$17$9730116,158+0.1%
Ohio$17$1341634,403+0.1%
Pennsylvania$17$165814,833+0.1%
Arizona$17$144741,323+0.1%
Kentucky$17$4678060.0%
Oregon$17$9161,8410.0%
Texas$17$9325796,7940.0%
Utah$17$39272,5850.0%
Virginia$17$64274,1950.0%
Maine$17$49202,056-0.1%
New Mexico$17$11934,440-0.1%
North Carolina$17$1371963,485-0.1%
Michigan$17$41355,127-0.1%
New York$17$18814853,516-0.1%
Puerto Rico$17$178275-0.1%
Alabama$17$1332317,127-0.1%
Illinois$17$1268015,105-0.2%
Oklahoma$17$10997,084-0.2%
Tennessee$17$5810821,139-0.2%
Hawaii$17$6024,210-0.3%
Missouri$17$743437-0.3%
Washington$17$117915,857-0.3%
Iowa$17$8363,202-0.5%
Wisconsin$17$108198,343-0.7%
Mississippi$17$125153,534-1.1%
North Dakota$17$6610312-2.2%
Idaho$16$391108-2.4%
South Carolina$16$669285-3.4%

⚠️ 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

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