Lactic acid level
Medicare pricing data for 1,016 providers across 43 states
This procedure has a 5.3x markup — hospitals charge $60.27 but Medicare allows only $11.30. Uninsured patients may face bills 5.3 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
Lactic acid level (HCPCS code 83605) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.30, but hospitals typically charge $60.27 — a 5.3x 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 $11.30, your out-of-pocket cost would be approximately $2.26. 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 5.3x more than what Medicare allows for this procedure. Medicare actually pays $11.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $11 | $154 | 43 | 542 | +0.4% |
| Florida | $11 | $73 | 69 | 1,365 | +0.4% |
| Georgia | $11 | $93 | 14 | 391 | +0.4% |
| Hawaii | $11 | $37 | 3 | 174 | +0.4% |
| Idaho | $11 | $31 | 10 | 33 | +0.4% |
| Indiana | $11 | $222 | 7 | 62 | +0.4% |
| Kansas | $11 | $103 | 7 | 361 | +0.4% |
| Michigan | $11 | $31 | 13 | 43 | +0.4% |
| Minnesota | $11 | $60 | 101 | 518 | +0.4% |
| Mississippi | $11 | $30 | 5 | 18 | +0.4% |
| Missouri | $11 | $45 | 4 | 36 | +0.4% |
| Montana | $11 | $42 | 8 | 52 | +0.4% |
| North Carolina | $11 | $40 | 16 | 5,986 | +0.4% |
| North Dakota | $11 | $71 | 5 | 24 | +0.4% |
| Ohio | $11 | $79 | 16 | 604 | +0.4% |
| Oklahoma | $11 | $62 | 12 | 274 | +0.4% |
| Oregon | $11 | $40 | 21 | 117 | +0.4% |
| Rhode Island | $11 | $31 | 2 | 11 | +0.4% |
| South Carolina | $11 | $40 | 11 | 16 | +0.4% |
| South Dakota | $11 | $64 | 7 | 56 | +0.4% |
| Tennessee | $11 | $47 | 24 | 264 | +0.4% |
| Virginia | $11 | $49 | 48 | 512 | +0.4% |
| Wyoming | $11 | $72 | 14 | 70 | +0.4% |
| Puerto Rico | $11 | $12 | 7 | 14 | +0.4% |
| Alaska | $11 | $78 | 5 | 13 | +0.4% |
| Maryland | $11 | $33 | 11 | 794 | +0.3% |
| Massachusetts | $11 | $102 | 12 | 169 | +0.3% |
| New Jersey | $11 | $113 | 31 | 1,101 | +0.3% |
| New York | $11 | $44 | 74 | 2,025 | +0.3% |
| Alabama | $11 | $84 | 13 | 143 | +0.3% |
| Pennsylvania | $11 | $100 | 13 | 466 | +0.2% |
| Illinois | $11 | $68 | 57 | 299 | +0.1% |
| Nevada | $11 | $36 | 6 | 291 | +0.1% |
| Texas | $11 | $70 | 82 | 1,262 | 0.0% |
| California | $11 | $56 | 67 | 3,319 | -0.2% |
| Kentucky | $11 | $53 | 7 | 133 | -1.0% |
| Wisconsin | $11 | $84 | 28 | 327 | -1.0% |
| Utah | $11 | $40 | 6 | 27 | -1.4% |
| Iowa | $11 | $63 | 4 | 41 | -1.6% |
| Colorado | $11 | $45 | 52 | 238 | -1.9% |
| New Mexico | $11 | $58 | 6 | 52 | -5.2% |
| Washington | $11 | $55 | 47 | 451 | -5.8% |
| Arkansas | $8 | $17 | 8 | 38 | -30.3% |
⚠️ 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