83880

Natriuretic peptide (heart and blood vessel protein) level

Medicare pricing data for 11,304 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

Natriuretic peptide (heart and blood vessel protein) level (HCPCS code 83880) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.40, but hospitals typically charge $166.05 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $38.40, your out-of-pocket cost would be approximately $7.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$38.40
Average Hospital Charge
$166.05
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$166.05
Medicare Allowed$38.40
Medicare Payment$38.40

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $38.40 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$38$727303+0.2%
Montana$38$9434266+0.2%
New Hampshire$38$2394196+0.2%
New Mexico$38$112171,779+0.2%
Rhode Island$38$100141,883+0.2%
West Virginia$38$2211453+0.2%
Massachusetts$38$16255623,724+0.2%
Idaho$38$92281,747+0.1%
Kansas$38$18319227,234+0.1%
New Jersey$38$20113897,850+0.1%
New York$38$20246462,108+0.1%
Florida$38$15657855,876+0.1%
Maine$38$110491,024+0.1%
Pennsylvania$38$1625114,127+0.1%
Arizona$38$17214918,229+0.1%
California$38$157387106,312+0.1%
Ohio$38$14924828,807+0.1%
Colorado$38$191928,832+0.1%
Louisiana$38$1431585,514+0.1%
Maryland$38$162248,037+0.1%
Michigan$38$879513,142+0.1%
Oregon$38$1101795,540+0.0%
Texas$38$169940108,618+0.0%
Utah$38$902203,547+0.0%
Nevada$38$159543,7660.0%
North Carolina$38$19473759,6150.0%
Oklahoma$38$1436825,4060.0%
Missouri$38$1213144,272-0.0%
Nebraska$38$871085,156-0.0%
North Dakota$38$164402,435-0.0%
Georgia$38$17022013,162-0.1%
Wyoming$38$16042339-0.1%
Illinois$38$15947425,934-0.1%
Iowa$38$1382655,154-0.1%
Virginia$38$11927912,974-0.1%
Connecticut$38$17916951-0.1%
Indiana$38$1041124,153-0.1%
Minnesota$38$1561,07713,703-0.2%
Hawaii$38$9843,290-0.2%
Tennessee$38$13468919,626-0.2%
Alabama$38$17132219,949-0.2%
South Dakota$38$1561161,823-0.3%
Puerto Rico$38$43161840-0.3%
Washington$38$16440218,902-0.4%
Wisconsin$38$18036517,732-0.4%
Arkansas$38$1801576,175-0.4%
Kentucky$38$1021264,591-0.5%
South Carolina$38$1171935,330-0.5%
Mississippi$38$1232417,161-0.7%
Alaska$38$20860374-0.7%

⚠️ 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