84484

Troponin (protein) analysis, quantitative

Medicare pricing data for 5,135 providers across 49 states

🤖AI Overview

This procedure has a 8.4x markup — hospitals charge $102.57 but Medicare allows only $12.16. 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

Troponin (protein) analysis, quantitative (HCPCS code 84484) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.16, but hospitals typically charge $102.57 — a 8.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.43

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.16, your out-of-pocket cost would be approximately $2.43. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$12.16
Average Hospital Charge
$102.57
Markup Ratio
8.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$102.57
Medicare Allowed$12.16
Medicare Payment$12.16

Hospitals charge 8.4x more than what Medicare allows for this procedure. Medicare actually pays $12.16 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Hampshire$12$154314+0.5%
Rhode Island$12$576287+0.5%
Vermont$12$270146+0.5%
Puerto Rico$12$12848158+0.5%
Colorado$12$11747841+0.5%
Kansas$12$112922,250+0.4%
Utah$12$5193763+0.4%
California$12$6641419,937+0.4%
Illinois$12$1153083,164+0.3%
Massachusetts$12$891202,745+0.3%
New Mexico$12$20413235+0.3%
Pennsylvania$12$160261,233+0.3%
Arizona$12$255441,827+0.3%
Louisiana$12$6337450+0.2%
Missouri$12$10780428+0.2%
Montana$12$3546312+0.2%
Ohio$12$117783,130+0.2%
Wyoming$12$12454367+0.2%
Alaska$12$6834144+0.2%
Florida$12$2201875,539+0.2%
Nebraska$12$2776805+0.2%
New York$12$1292296,532+0.2%
North Carolina$12$1143295,510+0.2%
Tennessee$12$1061361,759+0.2%
Virginia$12$72801,211+0.2%
Iowa$12$63126973+0.1%
Oklahoma$12$126201,736+0.1%
Texas$12$952638,076+0.1%
Indiana$12$91244590.0%
Michigan$12$84395420.0%
Minnesota$12$953654,1810.0%
New Jersey$12$1121396,7010.0%
Arkansas$12$40976920.0%
North Dakota$12$6737263-0.1%
Oregon$12$6497972-0.2%
Alabama$12$901962,775-0.2%
Georgia$12$8258752-0.2%
Maine$12$6538116-0.2%
Nevada$12$94671,132-0.3%
South Carolina$12$1191293,028-0.3%
South Dakota$12$46101586-0.3%
Wisconsin$12$812182,751-0.4%
Idaho$12$4738187-0.5%
Maryland$12$88291,614-0.5%
Kentucky$12$3580453-0.6%
Hawaii$12$596945-0.7%
Mississippi$12$74100745-0.9%
Washington$12$692573,268-3.3%
Connecticut$12$401986-3.5%

⚠️ 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