84255

Selenium (vitamin) level

Medicare pricing data for 172 providers across 28 states

🤖AI Overview

This procedure has a 5.6x markup — hospitals charge $139.50 but Medicare allows only $24.85. Uninsured patients may face bills 5.6 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

Selenium (vitamin) level (HCPCS code 84255) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.85, but hospitals typically charge $139.50 — a 5.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.85, your out-of-pocket cost would be approximately $4.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.85
Average Hospital Charge
$139.50
Markup Ratio
5.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$139.50
Medicare Allowed$24.85
Medicare Payment$24.85

Hospitals charge 5.6x more than what Medicare allows for this procedure. Medicare actually pays $24.85 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$25$1552480+0.7%
Hawaii$25$1222113+0.7%
Indiana$25$152112+0.7%
Massachusetts$25$150319+0.7%
Minnesota$25$188326+0.7%
Nevada$25$139165+0.7%
New York$25$896562+0.7%
Ohio$25$13711243+0.7%
Oklahoma$25$1054108+0.7%
Pennsylvania$25$1557218+0.7%
South Carolina$25$165244+0.7%
Tennessee$25$116237+0.7%
Utah$25$53445+0.7%
Virginia$25$404103+0.7%
Washington$25$1575125+0.7%
Wisconsin$25$134171+0.7%
Puerto Rico$25$26859+0.7%
Alabama$25$148591+0.7%
Arizona$25$1634907+0.7%
Colorado$25$1514122+0.7%
Florida$25$172121,333+0.6%
New Jersey$25$129105,017+0.6%
North Carolina$25$147102,066+0.6%
Kansas$25$1526357+0.5%
Texas$25$15412732+0.4%
Maryland$25$1605221+0.2%
Oregon$25$524150-0.6%
California$24$142161,728-4.6%

⚠️ 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