84207

Vitamin b-6 level

Medicare pricing data for 384 providers across 42 states

🤖AI Overview

This procedure has a 7.4x markup — hospitals charge $202.24 but Medicare allows only $27.15. Uninsured patients may face bills 7.4 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

Vitamin b-6 level (HCPCS code 84207) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.15, but hospitals typically charge $202.24 — a 7.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.43

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $27.15, your out-of-pocket cost would be approximately $5.43. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$27.15
Average Hospital Charge
$202.24
Markup Ratio
7.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$202.24
Medicare Allowed$27.15
Medicare Payment$27.15

Hospitals charge 7.4x more than what Medicare allows for this procedure. Medicare actually pays $27.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Idaho$28$45216+1.4%
Illinois$28$253111,454+1.4%
Kentucky$28$5251,040+1.4%
Louisiana$28$188219+1.4%
Maine$28$187247+1.4%
Maryland$28$2335397+1.4%
Missouri$28$37420+1.4%
New Hampshire$28$91642+1.4%
New Jersey$28$180145,754+1.4%
New Mexico$28$951147+1.4%
North Dakota$28$105526+1.4%
Oklahoma$28$2485328+1.4%
Rhode Island$28$60259+1.4%
South Dakota$28$100474+1.4%
Colorado$28$2066385+1.4%
Connecticut$28$161231+1.4%
Massachusetts$28$25662,528+1.4%
Puerto Rico$28$3067206+1.4%
Florida$28$245168,029+1.4%
Kansas$28$24071,687+1.4%
Tennessee$28$918840+1.4%
Nevada$28$25921,838+1.3%
Arizona$28$21833,939+1.3%
Georgia$28$25982,412+1.3%
Ohio$28$167142,731+1.3%
Alabama$27$18661,040+1.3%
North Carolina$27$1951312,064+1.2%
Utah$27$6061,463+1.2%
Hawaii$27$662846+1.1%
Pennsylvania$27$1755548+1.1%
Indiana$27$1075251+1.1%
New York$27$184153,666+1.0%
South Carolina$27$869161+1.0%
Washington$27$19581,443+1.0%
Wisconsin$27$1899888+0.8%
Minnesota$27$248111,081+0.5%
Oregon$27$864526-0.1%
Texas$27$230163,884-2.4%
California$26$2213613,514-3.9%
Virginia$25$496875-6.3%
Michigan$23$9310154-16.4%
Iowa$22$43666-18.9%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber