83835

Metanephrines level

Medicare pricing data for 284 providers across 40 states

🤖AI Overview

This procedure has a 14.6x markup — hospitals charge $241.53 but Medicare allows only $16.57. Uninsured patients may face bills 14.6 times higher than what insurance negotiates. 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

Metanephrines level (HCPCS code 83835) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.57, but hospitals typically charge $241.53 — a 14.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.31

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.57, your out-of-pocket cost would be approximately $3.31. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.57
Average Hospital Charge
$241.53
Markup Ratio
14.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$241.53
Medicare Allowed$16.57
Medicare Payment$16.57

Hospitals charge 14.6x more than what Medicare allows for this procedure. Medicare actually pays $16.57 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$17$23531,215+0.2%
Hawaii$17$1392149+0.2%
Illinois$17$2109641+0.2%
Kansas$17$2297866+0.2%
Kentucky$17$59276+0.2%
Maine$17$143241+0.2%
Massachusetts$17$229101,124+0.2%
Nevada$17$2372230+0.2%
New Hampshire$17$1191324+0.2%
New Mexico$17$163358+0.2%
New York$17$2388990+0.2%
North Dakota$17$120523+0.2%
Oklahoma$17$2053310+0.2%
Rhode Island$17$42152+0.2%
South Dakota$17$144347+0.2%
Texas$17$202152,235+0.2%
Puerto Rico$17$291120+0.2%
Alabama$17$3024333+0.2%
Arkansas$17$42713+0.2%
Colorado$17$2775146+0.2%
Connecticut$17$156214+0.2%
Florida$17$25182,896+0.1%
Maryland$17$2196607+0.1%
New Jersey$17$268104,304+0.1%
North Carolina$17$29898,519+0.1%
California$17$214273,702+0.1%
Ohio$17$214135410.0%
Utah$17$554395-0.1%
Pennsylvania$17$1858494-0.1%
Arizona$17$24241,167-0.1%
Minnesota$17$2857674-0.2%
Tennessee$17$973223-0.2%
Virginia$17$477393-0.2%
Iowa$17$446141-0.3%
Wisconsin$16$16110479-0.5%
Oregon$16$595213-0.7%
Indiana$16$180599-0.7%
Washington$16$2697523-1.2%
South Carolina$16$180417-3.6%
Michigan$16$1311071-4.9%

⚠️ 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