Protein measurement, body fluid
Medicare pricing data for 2,070 providers across 50 states
This procedure has a 5.5x markup — hospitals charge $95.58 but Medicare allows only $17.52. Uninsured patients may face bills 5.5 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
Protein measurement, body fluid (HCPCS code 84166) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.52, but hospitals typically charge $95.58 — a 5.5x 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 $17.52, your out-of-pocket cost would be approximately $3.50. 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 5.5x more than what Medicare allows for this procedure. Medicare actually pays $16.19 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $19 | $57 | 3 | 117 | +6.9% |
| Connecticut | $18 | $77 | 19 | 1,439 | +5.3% |
| Massachusetts | $18 | $93 | 57 | 9,622 | +4.6% |
| New York | $18 | $90 | 81 | 6,892 | +3.0% |
| California | $18 | $103 | 150 | 21,162 | +2.5% |
| Maryland | $18 | $96 | 30 | 4,127 | +1.8% |
| New Mexico | $18 | $73 | 7 | 475 | +1.5% |
| Illinois | $18 | $92 | 106 | 6,729 | +1.1% |
| Rhode Island | $18 | $59 | 9 | 678 | +1.0% |
| Washington | $18 | $90 | 40 | 2,987 | +0.9% |
| Delaware | $18 | $82 | 2 | 90 | +0.8% |
| Colorado | $18 | $104 | 21 | 1,198 | +0.5% |
| Hawaii | $18 | $54 | 16 | 1,195 | +0.4% |
| Montana | $18 | $40 | 3 | 65 | +0.4% |
| Oregon | $18 | $50 | 24 | 721 | +0.2% |
| New Jersey | $18 | $98 | 104 | 23,000 | 0.0% |
| Pennsylvania | $17 | $84 | 78 | 6,547 | -0.2% |
| Texas | $17 | $100 | 113 | 21,763 | -0.3% |
| Arizona | $17 | $132 | 16 | 4,429 | -0.3% |
| Nevada | $17 | $111 | 2 | 1,131 | -0.4% |
| Florida | $17 | $103 | 114 | 17,450 | -0.5% |
| Georgia | $17 | $100 | 60 | 5,964 | -0.6% |
| Virginia | $17 | $65 | 26 | 2,581 | -0.7% |
| Kansas | $17 | $106 | 19 | 2,817 | -0.8% |
| South Dakota | $17 | $68 | 25 | 376 | -0.9% |
| Michigan | $17 | $75 | 77 | 6,098 | -0.9% |
| North Carolina | $17 | $117 | 41 | 14,354 | -1.0% |
| Puerto Rico | $17 | $19 | 86 | 402 | -1.0% |
| Maine | $17 | $49 | 8 | 870 | -1.0% |
| New Hampshire | $17 | $115 | 4 | 168 | -1.2% |
| West Virginia | $17 | $75 | 4 | 61 | -1.5% |
| Minnesota | $17 | $129 | 207 | 4,644 | -1.7% |
| Louisiana | $17 | $112 | 15 | 419 | -2.0% |
| North Dakota | $17 | $67 | 12 | 487 | -2.0% |
| Alabama | $17 | $106 | 46 | 4,437 | -2.0% |
| Iowa | $17 | $65 | 35 | 1,044 | -2.1% |
| Ohio | $17 | $76 | 108 | 9,274 | -2.2% |
| Wisconsin | $17 | $96 | 47 | 2,625 | -2.3% |
| Utah | $17 | $37 | 21 | 1,064 | -2.5% |
| Kentucky | $17 | $72 | 16 | 353 | -2.5% |
| Missouri | $17 | $70 | 48 | 1,183 | -2.5% |
| Nebraska | $17 | $43 | 15 | 1,247 | -2.6% |
| Oklahoma | $17 | $64 | 18 | 1,515 | -3.1% |
| South Carolina | $17 | $66 | 18 | 376 | -3.4% |
| Indiana | $17 | $64 | 37 | 1,073 | -3.7% |
| Idaho | $17 | $40 | 20 | 293 | -4.2% |
| Tennessee | $17 | $103 | 32 | 3,835 | -4.5% |
| Arkansas | $16 | $40 | 6 | 1,616 | -6.5% |
| Mississippi | $16 | $52 | 6 | 110 | -7.1% |
| Vermont | $16 | $55 | 1 | 13 | -10.4% |
⚠️ 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