83789

Mass spectrometry (laboratory testing method)

Medicare pricing data for 135 providers across 25 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

Mass spectrometry (laboratory testing method) (HCPCS code 83789) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $23.59, but hospitals typically charge $66.30 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $23.59, your out-of-pocket cost would be approximately $4.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$23.59
Average Hospital Charge
$66.30
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$66.30
Medicare Allowed$23.59
Medicare Payment$23.59

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $23.59 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$24$784540+0.2%
Illinois$24$83327+0.2%
Iowa$24$160320+0.2%
Kansas$24$130338+0.2%
Kentucky$24$2511,392+0.2%
Louisiana$24$61294+0.2%
New Mexico$24$168117+0.2%
New York$24$1615586+0.2%
Ohio$24$697910+0.2%
Oklahoma$24$214320+0.2%
Pennsylvania$24$2421,705+0.2%
Tennessee$24$154223+0.2%
Virginia$24$74437+0.2%
Washington$24$964202+0.2%
Colorado$24$90376+0.2%
New Jersey$24$11192,370+0.1%
Texas$24$807641+0.1%
Arizona$24$862301+0.1%
Michigan$24$9372,4710.0%
North Carolina$24$8173,7580.0%
California$24$561221,0020.0%
Minnesota$24$1895100-0.2%
Alabama$23$822376-0.7%
Wisconsin$22$239315-6.5%
Maryland$22$503129-7.9%

⚠️ 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