84133

Urine potassium level

Medicare pricing data for 451 providers across 39 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 potassium level (HCPCS code 84133) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.64, but hospitals typically charge $20.84 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.93

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.64, your out-of-pocket cost would be approximately $0.93. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.64
Average Hospital Charge
$20.84
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$20.84
Medicare Allowed$4.64
Medicare Payment$4.64

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $4.64 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$5$37124400.0%
Illinois$5$18952,2720.0%
Indiana$5$382500.0%
Iowa$5$245230.0%
Kansas$5$53101,1060.0%
Kentucky$5$323470.0%
Louisiana$5$224240.0%
Maine$5$182200.0%
Massachusetts$5$4633260.0%
Missouri$5$118210.0%
Nevada$5$4131890.0%
New Jersey$5$43123,0600.0%
New Mexico$5$114450.0%
Ohio$5$30115060.0%
Oklahoma$5$2261,7930.0%
Rhode Island$5$191460.0%
Utah$5$121150.0%
Puerto Rico$5$515230.0%
California$5$144125,9630.0%
Colorado$5$2661190.0%
Connecticut$5$373120.0%
Florida$5$43223,168-0.2%
Michigan$5$1030344-0.2%
Minnesota$5$32351,244-0.2%
New York$5$4728916-0.2%
North Carolina$5$40242,364-0.2%
Pennsylvania$5$319403-0.2%
Texas$5$40352,207-0.2%
Alabama$5$3111532-0.2%
Arizona$5$2641,164-0.2%
Hawaii$5$182193-0.4%
Maryland$5$446163-0.6%
Oregon$5$117136-0.6%
Tennessee$5$3011143-0.6%
Washington$5$388295-0.9%
Wisconsin$5$348388-1.1%
Virginia$4$186131-3.4%
West Virginia$4$19118-4.3%
Arkansas$4$172261-5.2%

⚠️ 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