84450

Liver enzyme (sgot), level

Medicare pricing data for 6,982 providers across 50 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

Liver enzyme (sgot), level (HCPCS code 84450) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.96, but hospitals typically charge $21.81 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.99

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.96, your out-of-pocket cost would be approximately $0.99. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.96
Average Hospital Charge
$21.81
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$21.81
Medicare Allowed$4.96
Medicare Payment$4.96

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $4.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$5$19484,644+3.6%
Delaware$5$114222+2.4%
New Mexico$5$20131,029+2.4%
Utah$5$1224316+2.4%
Vermont$5$2250233+2.4%
Wyoming$5$181680+2.4%
Georgia$5$181208,743+2.2%
Massachusetts$5$2049443,721+2.2%
Nevada$5$18191,571+2.2%
New Hampshire$5$21602,935+2.2%
Rhode Island$5$1965,251+2.2%
South Carolina$5$201056,629+2.2%
Connecticut$5$21601,544+2.2%
Illinois$5$1922722,129+2.0%
Indiana$5$3011521,606+2.0%
Missouri$5$162204,377+2.0%
Virginia$5$14914,897+2.0%
Puerto Rico$5$63292,018+2.0%
Iowa$5$1521114,254+1.8%
Kansas$5$257912,182+1.8%
Louisiana$5$191537,774+1.8%
Michigan$5$1412319,412+1.8%
Minnesota$5$331,05936,853+1.8%
Pennsylvania$5$258113,575+1.8%
South Dakota$5$22621,461+1.8%
Kentucky$5$21362,695+1.6%
Tennessee$5$221896,493+1.6%
Wisconsin$5$4135712,258+1.6%
Mississippi$5$191449,057+1.4%
Montana$5$219153+1.4%
Nebraska$5$22744,659+1.4%
North Dakota$5$3227729+1.4%
West Virginia$5$2515257+1.4%
Hawaii$5$231011,433+1.2%
Idaho$5$1819176+1.2%
Colorado$5$28649,088+1.2%
Oregon$5$1658724+1.0%
New York$5$1638825,456+0.8%
Arkansas$5$161125,858+0.8%
Florida$5$1934574,587+0.4%
California$5$2724288,777+0.4%
Ohio$5$1824033,034-0.6%
Oklahoma$5$20432,941-0.6%
Alabama$5$206512,196-1.0%
Texas$5$1726740,393-1.2%
North Carolina$5$2124159,483-2.0%
Maine$5$1331329-2.8%
Washington$5$22938,440-3.2%
Arizona$5$257019,709-3.4%
New Jersey$5$195355,170-5.6%

⚠️ 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