83930

Blood osmolality (concentration) measurement

Medicare pricing data for 569 providers across 41 states

🤖AI Overview

This procedure has a 9.7x markup — hospitals charge $62.77 but Medicare allows only $6.47. 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

Blood osmolality (concentration) measurement (HCPCS code 83930) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.47, but hospitals typically charge $62.77 — a 9.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.29

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.47, your out-of-pocket cost would be approximately $1.29. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.47
Average Hospital Charge
$62.77
Markup Ratio
9.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$62.77
Medicare Allowed$6.47
Medicare Payment$6.47

Hospitals charge 9.7x more than what Medicare allows for this procedure. Medicare actually pays $6.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$6$72183,752+0.2%
Georgia$6$7481,412+0.2%
Indiana$6$565126+0.2%
Iowa$6$38696+0.2%
Kansas$6$7661,035+0.2%
Kentucky$6$34587+0.2%
Louisiana$6$33541+0.2%
Maryland$6$726624+0.2%
Massachusetts$6$69781,563+0.2%
New Hampshire$6$311017+0.2%
New Mexico$6$59269+0.2%
New York$6$52131,775+0.2%
North Dakota$6$30990+0.2%
Pennsylvania$6$639531+0.2%
South Dakota$6$45446+0.2%
Tennessee$6$505506+0.2%
Utah$6$18342+0.2%
Puerto Rico$6$71756+0.2%
Alabama$6$6761,078+0.2%
Arizona$6$6752,117+0.2%
California$6$59355,332+0.2%
Colorado$6$587248+0.2%
Connecticut$6$65221+0.2%
New Jersey$6$72414,5040.0%
North Carolina$6$63125,6530.0%
Ohio$6$52171,2200.0%
Texas$6$62213,7910.0%
Virginia$6$27214830.0%
Illinois$6$7114753-0.2%
Nevada$6$662386-0.2%
Oklahoma$6$647404-0.2%
Hawaii$6$312504-0.5%
Minnesota$6$53108487-0.5%
South Carolina$6$177254-0.5%
Washington$6$679583-0.5%
Wisconsin$6$5114418-0.5%
Oregon$6$404129-1.1%
Michigan$6$399114-1.2%
Maine$6$32254-1.5%
Idaho$6$24331-2.5%
Mississippi$6$57514-7.0%

⚠️ 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

💊 Need post-procedure medications? Check costs on OpenPrescriber