83698

Lipoprotein-associated phospholipase a2 (enzyme) level

Medicare pricing data for 134 providers across 29 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-associated phospholipase a2 (enzyme) level (HCPCS code 83698) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $45.29, but hospitals typically charge $71.47 — a 1.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.06

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $45.29, your out-of-pocket cost would be approximately $9.06. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$45.29
Average Hospital Charge
$71.47
Markup Ratio
1.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$71.47
Medicare Allowed$45.29
Medicare Payment$45.29

Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $45.29 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$45$581013,830+0.2%
Georgia$45$5613,024+0.2%
Illinois$45$5232,000+0.2%
Indiana$45$116113+0.2%
Maryland$45$5321,386+0.2%
Massachusetts$45$58319,073+0.2%
Nevada$45$5111,077+0.2%
New Mexico$45$74224+0.2%
New York$45$25161,603+0.2%
North Dakota$45$11613,616+0.2%
Oregon$45$89319+0.2%
Pennsylvania$45$4771,531+0.2%
South Carolina$45$472839+0.2%
Tennessee$45$111480+0.2%
Texas$45$6285,067+0.2%
Utah$45$62432+0.2%
Virginia$45$121540+0.2%
Washington$45$5441,204+0.2%
Wisconsin$45$193215+0.2%
Puerto Rico$45$46520+0.2%
Alabama$45$94353+0.2%
Colorado$45$555551+0.2%
California$45$581211,015+0.2%
Arizona$45$22445,126+0.1%
New Jersey$45$7573,411+0.1%
North Carolina$45$9462,8180.0%
Oklahoma$45$854281-0.1%
Ohio$45$51820,179-0.5%
Kansas$45$5132,980-1.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

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