83921

Organic acid level

Medicare pricing data for 491 providers across 42 states

🤖AI Overview

This procedure has a 9.7x markup — hospitals charge $201.14 but Medicare allows only $20.72. Uninsured patients may face bills 9.7 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

Organic acid level (HCPCS code 83921) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.72, but hospitals typically charge $201.14 — a 9.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.72, your out-of-pocket cost would be approximately $4.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$20.72
Average Hospital Charge
$201.14
Markup Ratio
9.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$201.14
Medicare Allowed$20.72
Medicare Payment$20.72

Hospitals charge 9.7x more than what Medicare allows for this procedure. Medicare actually pays $20.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$21$29475,470+0.3%
Idaho$21$1294104+0.3%
Indiana$21$2063315+0.3%
Kansas$21$26583,308+0.3%
Maine$21$1502272+0.3%
Maryland$21$25083,196+0.3%
Mississippi$21$220653+0.3%
Missouri$21$3231129+0.3%
Nevada$21$27131,422+0.3%
New Hampshire$21$191732+0.3%
Rhode Island$21$572288+0.3%
South Dakota$21$72487+0.3%
Tennessee$21$1284541+0.3%
Colorado$21$25282,032+0.3%
Connecticut$21$177236+0.3%
Florida$21$2691713,863+0.3%
Illinois$21$235143,813+0.3%
Massachusetts$21$872535,402+0.3%
New Jersey$21$2471520,757+0.3%
Ohio$21$190135,093+0.3%
Texas$21$2053210,590+0.3%
North Carolina$21$2431724,477+0.2%
Pennsylvania$21$219103,027+0.2%
Alabama$21$22471,833+0.2%
Arizona$21$20978,431+0.2%
Kentucky$21$2851,787+0.1%
Virginia$21$6982,331+0.1%
New York$21$136144,510+0.1%
Utah$21$4791,596+0.1%
Minnesota$21$190733,587+0.0%
Oregon$21$14171,406+0.0%
Washington$21$189104,235+0.0%
Michigan$21$66104670.0%
New Mexico$21$8852950.0%
Oklahoma$21$27157170.0%
Hawaii$21$18621,268-0.1%
Wisconsin$21$12416974-0.3%
Iowa$21$677549-0.4%
North Dakota$21$71850-0.7%
California$20$2594125,159-1.7%
Louisiana$20$169521-3.0%
South Carolina$20$1371270-4.6%

⚠️ 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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