83883

Nephelometry, test method using light

Medicare pricing data for 614 providers across 39 states

🤖AI Overview

This procedure has a 6.6x markup — hospitals charge $87.95 but Medicare allows only $13.30. Uninsured patients may face bills 6.6 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

Nephelometry, test method using light (HCPCS code 83883) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.30, but hospitals typically charge $87.95 — a 6.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.66

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.30, your out-of-pocket cost would be approximately $2.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.30
Average Hospital Charge
$87.95
Markup Ratio
6.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$87.95
Medicare Allowed$13.30
Medicare Payment$13.30

Hospitals charge 6.6x more than what Medicare allows for this procedure. Medicare actually pays $13.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$13$57214,342+0.2%
Idaho$13$49737+0.2%
Indiana$13$109652+0.2%
Iowa$13$85515+0.2%
Kentucky$13$58325+0.2%
Louisiana$13$415216+0.2%
Massachusetts$13$7441,275+0.2%
Minnesota$13$1909368+0.2%
Mississippi$13$53493+0.2%
New Mexico$13$83220+0.2%
Oklahoma$13$574502+0.2%
Pennsylvania$13$867677+0.2%
South Carolina$13$52754+0.2%
Washington$13$154362,042+0.2%
Wisconsin$13$1014160+0.2%
Puerto Rico$13$163087+0.2%
Florida$13$552220,669+0.2%
Maryland$13$5073,164+0.2%
New Jersey$13$74156,857+0.2%
New York$13$471513,362+0.2%
North Carolina$13$1121612,970+0.2%
Arizona$13$9493,160+0.2%
California$13$1043112,557+0.2%
Kansas$13$140101,2810.0%
Maine$13$6817380.0%
Ohio$13$108193,9160.0%
Texas$13$83274,9870.0%
Colorado$13$568392-0.2%
Nevada$13$163377,410-0.2%
Virginia$13$172558,057-0.2%
Arkansas$13$42252,291-0.3%
Hawaii$13$652608-0.4%
Illinois$13$88181,500-0.4%
Tennessee$13$49312,967-0.4%
Michigan$13$3911684-0.6%
Oregon$13$160231,365-0.6%
Connecticut$13$1161326-0.6%
Alabama$13$64429,943-0.8%
Missouri$13$3881687-2.1%

⚠️ 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