83625

Lactate dehydrogenase (enzyme) measurement

Medicare pricing data for 174 providers across 27 states

🤖AI Overview

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

Lactate dehydrogenase (enzyme) measurement (HCPCS code 83625) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.53, but hospitals typically charge $25.59 — a 2.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.51

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.53, your out-of-pocket cost would be approximately $2.51. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$12.53
Average Hospital Charge
$25.59
Markup Ratio
2.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$25.59
Medicare Allowed$12.53
Medicare Payment$12.53

Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $12.53 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$13$11231160.0%
Illinois$13$9152240.0%
Iowa$13$311170.0%
Kansas$13$10121700.0%
Maryland$13$11421260.0%
Massachusetts$13$11332150.0%
Minnesota$13$1173190.0%
Nevada$13$1074460.0%
New York$13$12362360.0%
North Carolina$13$6785660.0%
Ohio$13$68101830.0%
Oklahoma$13$1022540.0%
Pennsylvania$13$1124910.0%
South Carolina$13$802190.0%
Tennessee$13$483210.0%
Texas$13$94116710.0%
Utah$13$261220.0%
Puerto Rico$13$1310190.0%
Arizona$13$201462,6950.0%
California$13$27115,9010.0%
Colorado$13$796830.0%
Florida$13$10410895-0.1%
Michigan$13$155374-0.2%
New Jersey$12$7971,488-0.3%
Washington$12$734264-0.7%
Alabama$12$672113-0.8%
Virginia$12$64969-1.8%

⚠️ 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