83695

Lipoprotein (a) level

Medicare pricing data for 515 providers across 38 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

Lipoprotein (a) level (HCPCS code 83695) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.01, but hospitals typically charge $49.03 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.80

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.01, your out-of-pocket cost would be approximately $2.80. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$14.01
Average Hospital Charge
$49.03
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$49.03
Medicare Allowed$14.01
Medicare Payment$14.01

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $14.01 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$14$337131,331+0.1%
Georgia$14$2665,560+0.1%
Hawaii$14$662326+0.1%
Illinois$14$2375,264+0.1%
Indiana$14$841118+0.1%
Iowa$14$54436+0.1%
Kansas$14$2863,581+0.1%
Kentucky$14$45244+0.1%
Louisiana$14$374154+0.1%
Maine$14$39248+0.1%
Maryland$14$28195,660+0.1%
Massachusetts$14$22622,901+0.1%
Missouri$14$265137+0.1%
Nevada$14$2631,747+0.1%
New Mexico$14$763100+0.1%
New York$14$99147,089+0.1%
North Dakota$14$363691+0.1%
Ohio$14$351311,406+0.1%
Pennsylvania$14$2392,938+0.1%
Rhode Island$14$40118+0.1%
Tennessee$14$1054754+0.1%
Texas$14$532815,989+0.1%
Utah$14$305218+0.1%
Puerto Rico$14$1528100+0.1%
Alabama$14$1086838+0.1%
Colorado$14$4881,845+0.1%
New Jersey$14$663826,545+0.1%
North Carolina$14$1201312,760+0.1%
Oklahoma$14$3191,840+0.1%
South Carolina$14$42171,176+0.1%
Arizona$14$76395,679+0.1%
Minnesota$14$110421,6010.0%
Washington$14$58122,0970.0%
Wisconsin$14$8910449-0.1%
Oregon$14$623372-0.3%
California$14$414330,729-0.5%
Michigan$13$449933-5.4%
Virginia$13$288437-7.9%

⚠️ 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