Total protein level, blood
Medicare pricing data for 3,663 providers across 51 states
This procedure has a 5.7x markup — hospitals charge $20.24 but Medicare allows only $3.53. Uninsured patients may face bills 5.7 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
Total protein level, blood (HCPCS code 84155) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $3.53, but hospitals typically charge $20.24 — a 5.7x 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 $3.53, your out-of-pocket cost would be approximately $0.71. 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 5.7x more than what Medicare allows for this procedure. Medicare actually pays $3.53 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Minnesota | $4 | $33 | 353 | 12,979 | +2.8% |
| Delaware | $4 | $7 | 4 | 42 | +2.0% |
| Georgia | $4 | $26 | 51 | 17,531 | +2.0% |
| Maryland | $4 | $22 | 37 | 3,726 | +2.0% |
| Massachusetts | $4 | $22 | 376 | 11,046 | +2.0% |
| Montana | $4 | $10 | 4 | 11 | +2.0% |
| Pennsylvania | $4 | $23 | 36 | 5,143 | +2.0% |
| Rhode Island | $4 | $10 | 8 | 1,570 | +2.0% |
| Utah | $4 | $9 | 36 | 243 | +2.0% |
| Vermont | $4 | $36 | 37 | 120 | +2.0% |
| Wyoming | $4 | $34 | 14 | 182 | +2.0% |
| Puerto Rico | $4 | $4 | 36 | 112 | +2.0% |
| District of Columbia | $4 | $13 | 8 | 36 | +1.7% |
| Indiana | $4 | $40 | 33 | 19,092 | +1.7% |
| Kentucky | $4 | $17 | 15 | 310 | +1.7% |
| Nebraska | $4 | $15 | 23 | 1,475 | +1.7% |
| New York | $4 | $44 | 168 | 17,869 | +1.7% |
| Oregon | $4 | $15 | 29 | 2,526 | +1.7% |
| South Carolina | $4 | $15 | 66 | 4,039 | +1.7% |
| Virginia | $4 | $10 | 101 | 3,683 | +1.7% |
| Hawaii | $4 | $17 | 3 | 1,336 | +1.4% |
| Illinois | $4 | $18 | 99 | 12,590 | +1.4% |
| Kansas | $4 | $26 | 38 | 16,717 | +1.4% |
| Louisiana | $4 | $13 | 37 | 2,427 | +1.4% |
| Michigan | $4 | $11 | 49 | 10,610 | +1.4% |
| Nevada | $4 | $23 | 21 | 1,842 | +1.4% |
| New Hampshire | $4 | $12 | 31 | 282 | +1.4% |
| New Mexico | $4 | $25 | 8 | 635 | +1.4% |
| South Dakota | $4 | $18 | 24 | 193 | +1.4% |
| Missouri | $4 | $12 | 130 | 1,605 | +1.1% |
| North Dakota | $4 | $25 | 15 | 111 | +1.1% |
| Iowa | $4 | $12 | 114 | 1,202 | +0.8% |
| Maine | $4 | $30 | 5 | 1,179 | +0.8% |
| Tennessee | $4 | $22 | 145 | 3,146 | +0.8% |
| Texas | $4 | $19 | 183 | 74,623 | +0.8% |
| Wisconsin | $4 | $37 | 71 | 2,455 | +0.8% |
| California | $4 | $19 | 162 | 72,999 | +0.8% |
| Idaho | $4 | $17 | 9 | 138 | +0.6% |
| Mississippi | $4 | $27 | 82 | 1,584 | +0.6% |
| Alabama | $4 | $17 | 36 | 18,441 | +0.6% |
| Florida | $4 | $19 | 153 | 68,144 | +0.3% |
| Connecticut | $4 | $25 | 12 | 154 | +0.3% |
| Colorado | $4 | $16 | 74 | 6,530 | 0.0% |
| North Carolina | $4 | $16 | 147 | 64,691 | -0.6% |
| Washington | $4 | $17 | 60 | 11,161 | -0.6% |
| Ohio | $3 | $16 | 190 | 30,559 | -1.1% |
| Arizona | $3 | $20 | 56 | 22,612 | -1.4% |
| Oklahoma | $3 | $29 | 53 | 4,695 | -2.8% |
| New Jersey | $3 | $17 | 163 | 74,248 | -3.1% |
| West Virginia | $3 | $12 | 11 | 44 | -4.2% |
| Arkansas | $3 | $8 | 37 | 858 | -7.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber