84478

Triglycerides level

Medicare pricing data for 1,439 providers across 44 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $28.43 but Medicare allows only $5.62. Uninsured patients may face bills 5.1 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

Triglycerides level (HCPCS code 84478) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.62, but hospitals typically charge $28.43 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.12

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $5.62, your out-of-pocket cost would be approximately $1.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$5.62
Average Hospital Charge
$28.43
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$28.43
Medicare Allowed$5.62
Medicare Payment$5.62

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $5.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Tennessee$6$31591,043+0.4%
Georgia$6$39141,220+0.2%
Hawaii$6$182172+0.2%
Kansas$6$29292,058+0.2%
Kentucky$6$2319369+0.2%
Massachusetts$6$37411,678+0.2%
Michigan$6$1124516+0.2%
Nebraska$6$2015129+0.2%
Nevada$6$3711454+0.2%
New Mexico$6$24527+0.2%
North Dakota$6$27740+0.2%
Oklahoma$6$16163,351+0.2%
Oregon$6$1926282+0.2%
Pennsylvania$6$21452,539+0.2%
Rhode Island$6$37247+0.2%
South Dakota$6$1319209+0.2%
Utah$6$161159+0.2%
Washington$6$2923519+0.2%
Puerto Rico$6$74994+0.2%
Connecticut$6$21812+0.2%
Illinois$6$38421,2320.0%
Indiana$6$23211,6020.0%
Louisiana$6$1715940.0%
Mississippi$6$32272,3480.0%
New Jersey$6$37349,6190.0%
North Carolina$6$347110,0580.0%
South Carolina$6$27182,6770.0%
Texas$6$26587,6620.0%
California$6$309421,7700.0%
Colorado$6$3692900.0%
Iowa$6$35352,387-0.2%
Maryland$6$3117201-0.2%
Alabama$6$27451,457-0.2%
Missouri$6$15581,551-0.4%
Ohio$6$191102,752-0.4%
Virginia$6$2033697-0.4%
Arkansas$6$32251,227-0.4%
New York$6$231168,184-0.5%
Wisconsin$6$3519271-0.5%
Arizona$6$25142,499-0.5%
Florida$6$25794,963-0.9%
Minnesota$6$2648279-1.2%
West Virginia$6$27732-1.4%
Maine$5$23563-2.3%

⚠️ 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