83861

Microfluid analysis of tears

Medicare pricing data for 3,445 providers across 50 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

Microfluid analysis of tears (HCPCS code 83861) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.96, but hospitals typically charge $45.30 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.39

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.96, your out-of-pocket cost would be approximately $4.39. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$21.96
Average Hospital Charge
$45.30
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$45.30
Medicare Allowed$21.96
Medicare Payment$21.96

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $21.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$22$45101,564+0.3%
District of Columbia$22$392163+0.3%
Montana$22$4415428+0.3%
North Dakota$22$6018429+0.3%
Wyoming$22$4022,421+0.3%
Puerto Rico$22$23241,510+0.3%
Kansas$22$54336,063+0.3%
South Dakota$22$57474,653+0.2%
Washington$22$39695,390+0.2%
Alaska$22$58223,726+0.2%
Arizona$22$37378,001+0.2%
Minnesota$22$45834,909+0.2%
Nebraska$22$49262,348+0.2%
Oregon$22$46443,039+0.2%
Kentucky$22$49533,909+0.1%
Massachusetts$22$51324,588+0.1%
Mississippi$22$41437,716+0.1%
New Hampshire$22$43382,812+0.1%
New Jersey$22$4710520,055+0.1%
New York$22$5431267,431+0.1%
Pennsylvania$22$4019429,430+0.1%
Arkansas$22$42141,575+0.1%
Florida$22$4315326,849+0.1%
Georgia$22$4310110,372+0.1%
Illinois$22$4422131,061+0.1%
Iowa$22$24152,789+0.1%
Michigan$22$3914518,125+0.1%
New Mexico$22$50142,207+0.1%
Utah$22$4619742+0.1%
West Virginia$22$33223,147+0.1%
Maryland$22$429024,431+0.0%
North Carolina$22$409020,790+0.0%
South Carolina$22$416111,393+0.0%
Tennessee$22$35586,474+0.0%
Connecticut$22$42705,7530.0%
Missouri$22$687013,775-0.0%
Oklahoma$22$38585,573-0.0%
California$22$4217178,253-0.0%
Virginia$22$3917930,330-0.1%
Ohio$22$4312412,042-0.2%
Indiana$22$4715313,263-0.2%
Wisconsin$22$45311,174-0.2%
Alabama$22$34312,377-0.3%
Maine$22$34161,108-0.3%
Texas$22$5620130,638-0.4%
Nevada$22$2561,156-0.6%
Louisiana$22$47452,643-0.6%
Colorado$22$3429702-1.2%
Hawaii$22$54353,763-1.5%
Idaho$22$3411199-2.0%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber