Stool lactoferrin (immune system protein) analysis
Medicare pricing data for 481 providers across 36 states
This procedure has a 5.8x markup — hospitals charge $111.91 but Medicare allows only $19.28. Uninsured patients may face bills 5.8 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
Stool lactoferrin (immune system protein) analysis (HCPCS code 83630) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.28, but hospitals typically charge $111.91 — a 5.8x 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 $19.28, your out-of-pocket cost would be approximately $3.86. 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 5.8x more than what Medicare allows for this procedure. Medicare actually pays $19.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $20 | $161 | 19 | 728 | +1.2% |
| Georgia | $19 | $63 | 25 | 79 | +0.2% |
| Idaho | $19 | $35 | 4 | 27 | +0.2% |
| Illinois | $19 | $141 | 6 | 233 | +0.2% |
| Indiana | $19 | $111 | 3 | 55 | +0.2% |
| Iowa | $19 | $88 | 5 | 34 | +0.2% |
| Kansas | $19 | $107 | 3 | 28 | +0.2% |
| Louisiana | $19 | $52 | 12 | 75 | +0.2% |
| Maryland | $19 | $73 | 5 | 380 | +0.2% |
| Massachusetts | $19 | $156 | 4 | 106 | +0.2% |
| Michigan | $19 | $57 | 4 | 24 | +0.2% |
| Missouri | $19 | $187 | 1 | 124 | +0.2% |
| Nevada | $19 | $187 | 1 | 37 | +0.2% |
| New Mexico | $19 | $108 | 2 | 55 | +0.2% |
| North Carolina | $19 | $128 | 4 | 767 | +0.2% |
| North Dakota | $19 | $88 | 10 | 86 | +0.2% |
| Pennsylvania | $19 | $180 | 5 | 88 | +0.2% |
| Utah | $19 | $61 | 33 | 276 | +0.2% |
| Puerto Rico | $19 | $22 | 8 | 15 | +0.2% |
| Texas | $19 | $105 | 53 | 546 | +0.1% |
| Arizona | $19 | $159 | 4 | 792 | +0.1% |
| California | $19 | $130 | 16 | 1,427 | +0.1% |
| New Jersey | $19 | $100 | 8 | 809 | 0.0% |
| Ohio | $19 | $78 | 12 | 239 | -0.1% |
| Virginia | $19 | $89 | 9 | 349 | -0.1% |
| New York | $19 | $104 | 8 | 524 | -0.2% |
| Oregon | $19 | $58 | 37 | 183 | -0.2% |
| Washington | $19 | $123 | 60 | 331 | -0.3% |
| Kentucky | $19 | $55 | 30 | 258 | -0.4% |
| Hawaii | $19 | $43 | 2 | 138 | -0.5% |
| Wisconsin | $19 | $96 | 8 | 502 | -0.6% |
| Tennessee | $19 | $60 | 22 | 236 | -1.3% |
| Minnesota | $19 | $58 | 31 | 149 | -1.4% |
| South Carolina | $19 | $102 | 5 | 57 | -1.5% |
| South Dakota | $19 | $108 | 4 | 49 | -1.5% |
| Oklahoma | $18 | $111 | 5 | 33 | -5.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber