Stool lactoferrin (immune system protein) level
Medicare pricing data for 90 providers across 23 states
This procedure has a 5.8x markup — hospitals charge $111.43 but Medicare allows only $19.23. Uninsured patients may face bills 5.8 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
Stool lactoferrin (immune system protein) level (HCPCS code 83631) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.23, but hospitals typically charge $111.43 — 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 $19.23, your out-of-pocket cost would be approximately $3.85. 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 $19.23 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $19 | $242 | 8 | 1,026 | +0.1% |
| Georgia | $19 | $232 | 2 | 120 | +0.1% |
| Illinois | $19 | $61 | 2 | 267 | +0.1% |
| Kansas | $19 | $270 | 2 | 96 | +0.1% |
| Louisiana | $19 | $163 | 2 | 15 | +0.1% |
| Maryland | $19 | $265 | 2 | 21 | +0.1% |
| Massachusetts | $19 | $280 | 3 | 129 | +0.1% |
| New York | $19 | $93 | 5 | 174 | +0.1% |
| Ohio | $19 | $156 | 5 | 195 | +0.1% |
| Oklahoma | $19 | $262 | 2 | 36 | +0.1% |
| Pennsylvania | $19 | $280 | 2 | 14 | +0.1% |
| Texas | $19 | $209 | 6 | 293 | +0.1% |
| Virginia | $19 | $184 | 4 | 287 | +0.1% |
| Washington | $19 | $167 | 3 | 355 | +0.1% |
| Wisconsin | $19 | $93 | 3 | 14 | +0.1% |
| Alabama | $19 | $162 | 3 | 254 | +0.1% |
| Arizona | $19 | $189 | 3 | 653 | +0.1% |
| California | $19 | $253 | 6 | 150 | +0.1% |
| Colorado | $19 | $204 | 3 | 13 | +0.1% |
| New Jersey | $19 | $48 | 8 | 6,770 | 0.0% |
| North Carolina | $19 | $163 | 3 | 2,626 | 0.0% |
| Arkansas | $19 | $39 | 1 | 445 | -0.2% |
| Tennessee | $19 | $34 | 2 | 237 | -0.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber