84134

Prealbumin (protein) level

Medicare pricing data for 867 providers across 45 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

Prealbumin (protein) level (HCPCS code 84134) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.27, but hospitals typically charge $68.23 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.85

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.27, your out-of-pocket cost would be approximately $2.85. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$14.27
Average Hospital Charge
$68.23
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$68.23
Medicare Allowed$14.27
Medicare Payment$14.27

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $14.27 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$14$302144+0.2%
Georgia$14$9262,236+0.2%
Idaho$14$60328+0.2%
Louisiana$14$31135,056+0.2%
Massachusetts$14$9574,043+0.2%
Missouri$14$378233+0.2%
Nebraska$14$402101+0.2%
Nevada$14$4863,356+0.2%
New Hampshire$14$77414+0.2%
New Mexico$14$682112+0.2%
North Dakota$14$516123+0.2%
Rhode Island$14$401473+0.2%
Arkansas$14$235559+0.2%
Colorado$14$7411700+0.2%
Illinois$14$70534,686+0.1%
Kansas$14$119152,336+0.1%
Michigan$14$231922,136+0.1%
Mississippi$14$3414832+0.1%
New Jersey$14$952013,345+0.1%
Ohio$14$72775,613+0.1%
Pennsylvania$14$91141,985+0.1%
Washington$14$1099718+0.1%
California$14$746516,445+0.1%
Maryland$14$747795+0.1%
Oklahoma$14$55103,234+0.1%
Texas$14$848513,316+0.1%
Utah$14$3127282+0.1%
Arizona$14$11931,791+0.1%
New York$14$712310,0360.0%
North Carolina$14$95144,8550.0%
South Carolina$14$24165340.0%
Iowa$14$686539-0.1%
Virginia$14$46191,208-0.1%
Hawaii$14$392693-0.1%
Minnesota$14$11494932-0.2%
Tennessee$14$7383936-0.2%
Alabama$14$83161,883-0.4%
Oregon$14$617367-0.6%
Kentucky$14$288205-0.6%
Connecticut$14$802180-0.7%
South Dakota$14$62476-0.8%
Indiana$14$6922170-1.4%
Florida$14$82277,493-1.5%
Maine$14$282127-1.7%
Wisconsin$14$8212577-2.9%

⚠️ 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