84425

Vitamin b-1 (thiamine) level

Medicare pricing data for 499 providers across 44 states

🤖AI Overview

This procedure has a 6.8x markup — hospitals charge $140.01 but Medicare allows only $20.68. Uninsured patients may face bills 6.8 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-1 (thiamine) level (HCPCS code 84425) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.68, but hospitals typically charge $140.01 — a 6.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.68, your out-of-pocket cost would be approximately $4.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$20.68
Average Hospital Charge
$140.01
Markup Ratio
6.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$140.01
Medicare Allowed$20.68
Medicare Payment$20.68

Hospitals charge 6.8x more than what Medicare allows for this procedure. Medicare actually pays $20.68 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$21$17074,883+0.6%
Idaho$21$100225+0.6%
Kentucky$21$553218+0.6%
Missouri$21$166811+0.6%
New Hampshire$21$74729+0.6%
New Jersey$21$1351812,404+0.6%
New Mexico$21$1003228+0.6%
North Dakota$21$87537+0.6%
Rhode Island$21$40192+0.6%
Puerto Rico$21$2555141+0.6%
Illinois$21$173222,739+0.6%
Massachusetts$21$173113,741+0.6%
Alabama$21$11452,137+0.6%
Colorado$21$1288691+0.6%
Florida$21$1642211,351+0.5%
Kansas$21$170113,432+0.5%
South Dakota$21$684102+0.5%
Arizona$21$16555,034+0.5%
Nevada$21$16941,676+0.5%
Oklahoma$21$156121,150+0.5%
Tennessee$21$11881,122+0.5%
Maryland$21$14171,435+0.4%
New York$21$167154,896+0.4%
Pennsylvania$21$87102,763+0.4%
Texas$21$1374910,790+0.4%
North Carolina$21$1191416,307+0.3%
Ohio$21$104152,939+0.2%
Utah$21$4591,297+0.2%
Virginia$21$5181,641+0.1%
Louisiana$21$736115+0.1%
Hawaii$21$1052453+0.0%
Indiana$21$1185461-0.2%
Washington$21$13771,977-0.2%
Maine$21$51392-0.4%
Minnesota$21$177111,036-0.5%
Wisconsin$21$177101,169-0.5%
South Carolina$20$8013160-1.1%
Oregon$20$695772-1.4%
Connecticut$20$134244-1.5%
Mississippi$20$213761-1.7%
Iowa$20$4510199-2.7%
California$20$1493815,424-2.7%
Michigan$20$4916334-3.4%
Arkansas$18$62917-14.0%

⚠️ 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

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