83986

Body fluid ph level

Medicare pricing data for 1,614 providers across 46 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

Body fluid ph level (HCPCS code 83986) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $3.51, but hospitals typically charge $15.01 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.70

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $3.51, your out-of-pocket cost would be approximately $0.70. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$3.51
Average Hospital Charge
$15.01
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$15.01
Medicare Allowed$3.51
Medicare Payment$3.51

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $3.51 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$4$3843545+0.3%
District of Columbia$4$2823400.0%
Florida$4$171104,6300.0%
Idaho$4$88160.0%
Illinois$4$132152,6320.0%
Iowa$4$219220.0%
Kansas$4$16122,0780.0%
Kentucky$4$147160.0%
Maine$4$10137920.0%
Massachusetts$4$16851,2200.0%
Minnesota$4$29491,1980.0%
Missouri$4$15474,8770.0%
Nebraska$4$12221170.0%
New Jersey$4$11352,4400.0%
Ohio$4$11648000.0%
Oklahoma$4$1572,8300.0%
Rhode Island$4$164220.0%
Utah$4$72140.0%
Vermont$4$2111190.0%
Virginia$4$22541410.0%
West Virginia$4$1315730.0%
Alaska$4$368230.0%
Colorado$4$187860.0%
Nevada$4$463159-0.3%
Oregon$4$152492-0.3%
Pennsylvania$4$11691,943-0.3%
Texas$4$23551,908-0.3%
Arizona$4$2119846-0.3%
California$4$21682,025-0.3%
Connecticut$4$1830386-0.3%
Hawaii$3$154130-0.6%
North Carolina$3$30140875-0.6%
Tennessee$3$1537155-0.6%
Wisconsin$3$36143564-0.6%
Indiana$3$1519679-0.9%
Michigan$3$961517-0.9%
New York$3$1365948-0.9%
South Carolina$3$1933145-0.9%
Washington$3$3217102-0.9%
Louisiana$3$3714587-1.4%
New Hampshire$3$1542143-1.7%
Arkansas$3$152096-1.7%
New Mexico$3$211040-2.6%
Alabama$3$1918239-3.4%
Delaware$3$12714-6.0%
Maryland$3$2140178-21.7%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber