84155

Total protein level, blood

Medicare pricing data for 3,663 providers across 51 states

🤖AI Overview

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

$0.71

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.

Average Allowed Cost
$3.53
Average Hospital Charge
$20.24
Markup Ratio
5.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$20.24
Medicare Allowed$3.53
Medicare Payment$3.53

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Minnesota$4$3335312,979+2.8%
Delaware$4$7442+2.0%
Georgia$4$265117,531+2.0%
Maryland$4$22373,726+2.0%
Massachusetts$4$2237611,046+2.0%
Montana$4$10411+2.0%
Pennsylvania$4$23365,143+2.0%
Rhode Island$4$1081,570+2.0%
Utah$4$936243+2.0%
Vermont$4$3637120+2.0%
Wyoming$4$3414182+2.0%
Puerto Rico$4$436112+2.0%
District of Columbia$4$13836+1.7%
Indiana$4$403319,092+1.7%
Kentucky$4$1715310+1.7%
Nebraska$4$15231,475+1.7%
New York$4$4416817,869+1.7%
Oregon$4$15292,526+1.7%
South Carolina$4$15664,039+1.7%
Virginia$4$101013,683+1.7%
Hawaii$4$1731,336+1.4%
Illinois$4$189912,590+1.4%
Kansas$4$263816,717+1.4%
Louisiana$4$13372,427+1.4%
Michigan$4$114910,610+1.4%
Nevada$4$23211,842+1.4%
New Hampshire$4$1231282+1.4%
New Mexico$4$258635+1.4%
South Dakota$4$1824193+1.4%
Missouri$4$121301,605+1.1%
North Dakota$4$2515111+1.1%
Iowa$4$121141,202+0.8%
Maine$4$3051,179+0.8%
Tennessee$4$221453,146+0.8%
Texas$4$1918374,623+0.8%
Wisconsin$4$37712,455+0.8%
California$4$1916272,999+0.8%
Idaho$4$179138+0.6%
Mississippi$4$27821,584+0.6%
Alabama$4$173618,441+0.6%
Florida$4$1915368,144+0.3%
Connecticut$4$2512154+0.3%
Colorado$4$16746,5300.0%
North Carolina$4$1614764,691-0.6%
Washington$4$176011,161-0.6%
Ohio$3$1619030,559-1.1%
Arizona$3$205622,612-1.4%
Oklahoma$3$29534,695-2.8%
New Jersey$3$1716374,248-3.1%
West Virginia$3$121144-4.2%
Arkansas$3$837858-7.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber