83874

Myoglobin (muscle protein) level

Medicare pricing data for 901 providers across 42 states

🤖AI Overview

This procedure has a 5.8x markup — hospitals charge $72.91 but Medicare allows only $12.62. Uninsured patients may face bills 5.8 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

Myoglobin (muscle protein) level (HCPCS code 83874) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.62, but hospitals typically charge $72.91 — a 5.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.52

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.62, your out-of-pocket cost would be approximately $2.52. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$12.62
Average Hospital Charge
$72.91
Markup Ratio
5.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$72.91
Medicare Allowed$12.62
Medicare Payment$12.62

Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $12.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$13$11536833+0.3%
Georgia$13$13628244+0.3%
Hawaii$13$73222+0.3%
Idaho$13$84422+0.3%
Illinois$13$15816111+0.3%
Indiana$13$88414+0.3%
Kansas$13$11420166+0.3%
Kentucky$13$561668+0.3%
Louisiana$13$64592+0.3%
Maryland$13$971366+0.3%
Massachusetts$13$778143+0.3%
Michigan$13$36942+0.3%
Minnesota$13$14310109+0.3%
Montana$13$71742+0.3%
Nevada$13$158245+0.3%
New Mexico$13$88325+0.3%
Ohio$13$10315508+0.3%
Oklahoma$13$1158108+0.3%
Pennsylvania$13$867110+0.3%
Rhode Island$13$24412+0.3%
South Dakota$13$44515+0.3%
Utah$13$26269+0.3%
Washington$13$125790+0.3%
Wisconsin$13$103528+0.3%
Alaska$13$117319+0.3%
Arizona$13$1688297+0.3%
New Jersey$13$77173,610+0.2%
New York$13$38501,934+0.2%
Virginia$13$4540379+0.1%
Missouri$13$89442610.0%
Texas$13$106851,6430.0%
California$13$51544,7440.0%
Nebraska$13$1825433-0.1%
Tennessee$13$11420171-0.2%
Alabama$13$69921,204-0.2%
North Carolina$13$113771,071-0.3%
Arkansas$13$4025319-0.6%
Oregon$13$58373-0.7%
South Carolina$13$3948668-0.7%
Colorado$13$811166-1.0%
Mississippi$12$6149276-2.1%
Iowa$12$67650-3.0%

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

Related from TheDataProject.ai

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