83529

Measurement of interleukin-6

Medicare pricing data for 124 providers across 26 states

🤖AI Overview

This procedure has a 8.5x markup — hospitals charge $144.33 but Medicare allows only $16.90. Uninsured patients may face bills 8.5 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 interleukin-6 (HCPCS code 83529) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.90, but hospitals typically charge $144.33 — a 8.5x 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 $16.90, 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
$16.90
Average Hospital Charge
$144.33
Markup Ratio
8.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$144.33
Medicare Allowed$16.90
Medicare Payment$16.90

Hospitals charge 8.5x more than what Medicare allows for this procedure. Medicare actually pays $16.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$17$296197+0.1%
Illinois$17$3332102+0.1%
Kansas$17$242368+0.1%
Maine$17$199130+0.1%
Maryland$17$289272+0.1%
Massachusetts$17$2924122+0.1%
Minnesota$17$8718284+0.1%
Nevada$17$305116+0.1%
New Jersey$17$1732805+0.1%
Ohio$17$1405226+0.1%
Oklahoma$17$209312+0.1%
Pennsylvania$17$239471+0.1%
Tennessee$17$386357+0.1%
Utah$17$48338+0.1%
Washington$17$175446+0.1%
Wisconsin$17$120235+0.1%
Wyoming$17$571239+0.1%
Alabama$17$147144+0.1%
Arizona$17$922178+0.1%
Colorado$17$165233+0.1%
New York$17$55112,504+0.1%
North Carolina$17$14051,142+0.1%
Florida$17$24255820.0%
Texas$17$1939838-0.1%
California$17$2409668-0.2%
Virginia$16$62332-2.7%

⚠️ 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