84105

Urine phosphate level

Medicare pricing data for 306 providers across 36 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

Urine phosphate level (HCPCS code 84105) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.66, but hospitals typically charge $24.61 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.13

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $5.66, your out-of-pocket cost would be approximately $1.13. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$5.66
Average Hospital Charge
$24.61
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$24.61
Medicare Allowed$5.66
Medicare Payment$5.66

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $5.66 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$6$63050+0.4%
Georgia$6$3624150.0%
Illinois$6$22552,3010.0%
Indiana$6$401130.0%
Iowa$6$263130.0%
Kentucky$6$1131050.0%
Maryland$6$414550.0%
Massachusetts$6$4332200.0%
Missouri$6$2592380.0%
Nevada$6$4022150.0%
New Jersey$6$3986070.0%
New Mexico$6$453490.0%
New York$6$53141730.0%
North Carolina$6$4851,5210.0%
North Dakota$6$253150.0%
Ohio$6$3191260.0%
Oklahoma$6$2542,8280.0%
Oregon$6$112930.0%
Rhode Island$6$232310.0%
Tennessee$6$254190.0%
Texas$6$37221,2420.0%
Utah$6$153130.0%
Washington$6$317710.0%
Alabama$6$413400.0%
Colorado$6$455940.0%
Florida$6$4971,817-0.2%
Kansas$6$399313-0.2%
Arizona$6$313845-0.2%
Michigan$6$1327288-0.4%
Minnesota$6$38261,149-0.4%
Pennsylvania$6$327289-0.4%
Hawaii$6$212128-0.5%
California$6$31261,871-0.7%
Wisconsin$6$407241-1.2%
Arkansas$6$231340-1.9%
Virginia$5$18733-10.4%

⚠️ 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