Measurement of small dense low density lipoprotein cholesterol
Medicare pricing data for 38 providers across 9 states
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
Measurement of small dense low density lipoprotein cholesterol (HCPCS code 83722) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.28, but hospitals typically charge $51.97 — a 1.6x 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 $33.28, your out-of-pocket cost would be approximately $6.66. 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 1.6x more than what Medicare allows for this procedure. Medicare actually pays $33.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Ohio | $34 | $52 | 2 | 1,205 | +0.7% |
| Massachusetts | $33 | $51 | 2 | 8,819 | +0.6% |
| South Carolina | $33 | $67 | 1 | 384 | +0.2% |
| Texas | $33 | $73 | 6 | 521 | +0.2% |
| California | $26 | $35 | 4 | 120 | -20.6% |
| Florida | $26 | $28 | 6 | 106 | -22.8% |
| Illinois | $26 | $26 | 1 | 13 | -23.0% |
| New Jersey | $26 | $59 | 2 | 19 | -23.1% |
| Kansas | $25 | $25 | 1 | 14 | -25.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber