Total protein level
Medicare pricing data for 61 providers across 11 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 (HCPCS code 84160) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.48, but hospitals typically charge $24.04 — a 4.4x 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 $5.48, your out-of-pocket cost would be approximately $1.10. 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 4.4x more than what Medicare allows for this procedure. Medicare actually pays $5.48 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Minnesota | $6 | $24 | 7 | 80 | +0.4% |
| New Jersey | $6 | $9 | 2 | 17 | +0.4% |
| New York | $6 | $35 | 1 | 51 | +0.4% |
| North Carolina | $6 | $9 | 1 | 54 | +0.4% |
| Wisconsin | $6 | $13 | 1 | 280 | +0.4% |
| Puerto Rico | $6 | $7 | 17 | 61 | +0.4% |
| Alabama | $6 | $20 | 2 | 124 | +0.4% |
| California | $6 | $7 | 6 | 1,660 | +0.4% |
| Oregon | $5 | $13 | 2 | 621 | 0.0% |
| Tennessee | $5 | $34 | 1 | 4,113 | 0.0% |
| Texas | $5 | $26 | 15 | 100 | -7.5% |
⚠️ 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