84560

Uric acid level

Medicare pricing data for 371 providers across 35 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

Uric acid level (HCPCS code 84560) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.97, but hospitals typically charge $22.28 — a 4.5x 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 $4.97, 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
$4.97
Average Hospital Charge
$22.28
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$22.28
Medicare Allowed$4.97
Medicare Payment$4.97

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $4.97 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$5$64274+0.6%
Georgia$5$394253+0.2%
Illinois$5$191252,181+0.2%
Indiana$5$29220+0.2%
Iowa$5$25518+0.2%
Louisiana$5$17949+0.2%
Maryland$5$43497+0.2%
Massachusetts$5$405276+0.2%
Minnesota$5$38291,170+0.2%
Nevada$5$342106+0.2%
New Jersey$5$4091,175+0.2%
New Mexico$5$30247+0.2%
New York$5$4515381+0.2%
North Carolina$5$4261,692+0.2%
North Dakota$5$39315+0.2%
Ohio$5$2811180+0.2%
Oklahoma$5$2282,855+0.2%
Oregon$5$145120+0.2%
Rhode Island$5$20134+0.2%
Tennessee$5$30393+0.2%
Utah$5$11455+0.2%
Alabama$5$41676+0.2%
Colorado$5$37464+0.2%
Florida$5$44142,0820.0%
Kansas$5$4274740.0%
Michigan$5$19333100.0%
Pennsylvania$5$2883860.0%
Texas$5$36221,3650.0%
Arizona$5$2747980.0%
Hawaii$5$202161-0.2%
Wisconsin$5$507249-0.6%
Washington$5$45592-0.8%
Arkansas$5$211643-1.6%
California$5$22423,272-3.4%
Virginia$5$17741-8.0%

⚠️ 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

💊 Need post-procedure medications? Check costs on OpenPrescriber