84252

Vitamin b-2 (riboflavin) level

Medicare pricing data for 190 providers across 33 states

🤖AI Overview

This procedure has a 8.4x markup — hospitals charge $165.51 but Medicare allows only $19.79. Uninsured patients may face bills 8.4 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-2 (riboflavin) level (HCPCS code 84252) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.79, but hospitals typically charge $165.51 — a 8.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.96

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $19.79, your out-of-pocket cost would be approximately $3.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$19.79
Average Hospital Charge
$165.51
Markup Ratio
8.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$165.51
Medicare Allowed$19.79
Medicare Payment$19.79

Hospitals charge 8.4x more than what Medicare allows for this procedure. Medicare actually pays $19.79 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$20$2188796+0.3%
Georgia$20$2211452+0.3%
Hawaii$20$137236+0.3%
Illinois$20$2192315+0.3%
Kansas$20$1685182+0.3%
Kentucky$20$70286+0.3%
Louisiana$20$53283+0.3%
Maryland$20$1874151+0.3%
Massachusetts$20$2124582+0.3%
Michigan$20$86518+0.3%
Nevada$20$2072164+0.3%
New Mexico$20$234114+0.3%
New York$20$12291,326+0.3%
Ohio$20$15611225+0.3%
Oklahoma$20$2273147+0.3%
Pennsylvania$20$3771,283+0.3%
Texas$20$19512628+0.3%
Utah$20$117434+0.3%
Virginia$20$75633+0.3%
Alabama$20$1585116+0.3%
Arizona$20$1844664+0.3%
Colorado$20$213348+0.3%
Connecticut$20$99213+0.3%
New Jersey$20$154144,213+0.2%
Puerto Rico$20$211165+0.2%
California$20$206182,084+0.1%
Tennessee$20$1325259-0.1%
Minnesota$20$2686204-0.2%
Washington$20$211466-1.3%
Rhode Island$19$45136-2.1%
North Carolina$19$20581,250-2.3%
Wisconsin$19$174331-3.0%
Oregon$19$204321-3.6%

⚠️ 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