Phosphatase (enzyme) measurement, alkaline, isoenzymes
Medicare pricing data for 327 providers across 40 states
This procedure has a 6.5x markup — hospitals charge $93.41 but Medicare allows only $14.45. Uninsured patients may face bills 6.5 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
Phosphatase (enzyme) measurement, alkaline, isoenzymes (HCPCS code 84080) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.45, but hospitals typically charge $93.41 — a 6.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.45, your out-of-pocket cost would be approximately $2.89. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.5x more than what Medicare allows for this procedure. Medicare actually pays $14.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Kansas | $14 | $83 | 4 | 620 | +0.2% |
| Maine | $14 | $72 | 2 | 65 | +0.2% |
| Maryland | $14 | $72 | 7 | 339 | +0.2% |
| Massachusetts | $14 | $85 | 7 | 762 | +0.2% |
| New Hampshire | $14 | $62 | 15 | 44 | +0.2% |
| New Mexico | $14 | $89 | 2 | 152 | +0.2% |
| North Dakota | $14 | $69 | 4 | 33 | +0.2% |
| Rhode Island | $14 | $33 | 1 | 69 | +0.2% |
| South Carolina | $14 | $57 | 3 | 40 | +0.2% |
| South Dakota | $14 | $82 | 3 | 51 | +0.2% |
| Utah | $14 | $32 | 5 | 362 | +0.2% |
| Puerto Rico | $14 | $16 | 20 | 28 | +0.2% |
| Colorado | $14 | $105 | 8 | 850 | +0.2% |
| Georgia | $14 | $85 | 4 | 1,115 | +0.1% |
| Illinois | $14 | $83 | 11 | 432 | +0.1% |
| New Jersey | $14 | $94 | 11 | 6,011 | +0.1% |
| New York | $14 | $113 | 10 | 3,050 | +0.1% |
| Ohio | $14 | $93 | 12 | 2,290 | +0.1% |
| Florida | $14 | $73 | 20 | 4,739 | +0.1% |
| North Carolina | $14 | $107 | 10 | 9,065 | +0.1% |
| Tennessee | $14 | $65 | 4 | 799 | +0.1% |
| Washington | $14 | $100 | 8 | 813 | +0.1% |
| Alabama | $14 | $84 | 6 | 1,439 | +0.1% |
| Mississippi | $14 | $51 | 5 | 84 | 0.0% |
| Texas | $14 | $82 | 29 | 3,422 | 0.0% |
| Arizona | $14 | $92 | 5 | 1,612 | 0.0% |
| Minnesota | $14 | $198 | 6 | 1,371 | -0.1% |
| Pennsylvania | $14 | $125 | 9 | 1,495 | -0.1% |
| Virginia | $14 | $39 | 7 | 371 | -0.1% |
| Iowa | $14 | $43 | 5 | 94 | -0.3% |
| Nevada | $14 | $67 | 2 | 184 | -0.3% |
| Oklahoma | $14 | $82 | 8 | 165 | -0.3% |
| Wisconsin | $14 | $96 | 7 | 1,097 | -0.5% |
| California | $14 | $68 | 28 | 4,069 | -0.7% |
| Indiana | $14 | $84 | 4 | 296 | -0.8% |
| Oregon | $14 | $83 | 5 | 197 | -0.8% |
| Kentucky | $14 | $61 | 2 | 97 | -0.8% |
| Hawaii | $14 | $62 | 2 | 137 | -0.9% |
| Louisiana | $14 | $64 | 5 | 20 | -4.8% |
| Michigan | $13 | $93 | 9 | 106 | -7.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber