83704

Lipoprotein level, quantitation of lipoprotein particle number(s)

Medicare pricing data for 188 providers across 33 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 level, quantitation of lipoprotein particle number(s) (HCPCS code 83704) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.35, but hospitals typically charge $81.74 — a 2.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.67

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $33.35, your out-of-pocket cost would be approximately $6.67. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$33.35
Average Hospital Charge
$81.74
Markup Ratio
2.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$81.74
Medicare Allowed$33.35
Medicare Payment$33.35

Hospitals charge 2.5x more than what Medicare allows for this procedure. Medicare actually pays $33.35 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$34$1052145+0.5%
Illinois$34$5242,836+0.5%
Indiana$34$101119+0.5%
Iowa$34$90215+0.5%
Louisiana$34$76214+0.5%
Massachusetts$34$50313,471+0.5%
Nevada$34$5221,500+0.5%
North Dakota$34$88214+0.5%
Utah$34$644249+0.5%
Wisconsin$34$1388245+0.5%
Puerto Rico$34$34313+0.5%
Arizona$34$12455,342+0.4%
North Carolina$33$86856,689+0.4%
Washington$33$5391,764+0.4%
Colorado$33$5351,378+0.4%
Georgia$33$5315,959+0.3%
Maryland$33$5546,137+0.3%
Kansas$33$5222,996+0.3%
Oregon$33$5321,004+0.3%
Texas$33$571110,479+0.2%
Ohio$33$2071016,108+0.2%
Pennsylvania$33$4371,565+0.1%
California$33$551815,465-0.2%
Minnesota$33$74426-0.3%
New Mexico$33$76388-0.4%
Oklahoma$33$533392-0.4%
Florida$33$561318,129-0.7%
New York$33$13771,173-1.7%
New Jersey$33$5898,200-1.8%
Alabama$32$694569-3.8%
Tennessee$30$75427-9.7%
South Carolina$28$504463-17.2%
Virginia$27$435211-18.4%

⚠️ 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