84182

Protein measurement, immunological probe for band identification

Medicare pricing data for 134 providers across 28 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

Protein measurement, immunological probe for band identification (HCPCS code 84182) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.37, but hospitals typically charge $127.12 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.67

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $28.37, your out-of-pocket cost would be approximately $5.67. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$28.37
Average Hospital Charge
$127.12
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$127.12
Medicare Allowed$28.37
Medicare Payment$28.34

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $28.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$29$15012,633+0.9%
Hawaii$29$144158+0.9%
Illinois$29$14911,747+0.9%
Kansas$29$15211,999+0.9%
Maryland$29$1463660+0.9%
Nevada$29$2131322+0.9%
New Mexico$29$49156+0.9%
New York$29$1635681+0.9%
Oklahoma$29$1622564+0.9%
Pennsylvania$29$1176654+0.9%
Tennessee$29$431199+0.9%
Wisconsin$29$1874340+0.9%
Arizona$29$763562+0.9%
Colorado$29$1462250+0.9%
Florida$29$16076,984+0.9%
New Jersey$29$15443,289+0.7%
Utah$29$614778+0.6%
Texas$28$142135,545+0.3%
Missouri$28$16511,254+0.3%
Minnesota$28$25812639-0.0%
North Carolina$28$1523351-0.2%
Virginia$28$1145733-0.4%
Iowa$28$346256-0.5%
California$28$791514,956-0.8%
Ohio$28$835300-1.8%
Massachusetts$28$14941,968-2.1%
Indiana$28$792212-2.2%
Washington$27$1563326-4.5%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber