84591

Vitamin measurement

Medicare pricing data for 152 providers across 26 states

🤖AI Overview

This procedure has a 10.8x markup — hospitals charge $181.07 but Medicare allows only $16.71. Uninsured patients may face bills 10.8 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 measurement (HCPCS code 84591) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.71, but hospitals typically charge $181.07 — a 10.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.71, your out-of-pocket cost would be approximately $3.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.71
Average Hospital Charge
$181.07
Markup Ratio
10.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$181.07
Medicare Allowed$16.71
Medicare Payment$16.71

Hospitals charge 10.8x more than what Medicare allows for this procedure. Medicare actually pays $16.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$17$2087518+0.1%
Georgia$17$1961146+0.1%
Illinois$17$1961147+0.1%
Indiana$17$164122+0.1%
Kansas$17$2104178+0.1%
Maryland$17$144366+0.1%
Massachusetts$17$1923102+0.1%
Minnesota$17$142544+0.1%
New Jersey$17$1728818+0.1%
New York$17$1258364+0.1%
North Carolina$17$31461,121+0.1%
Ohio$17$26212131+0.1%
Oklahoma$17$1263141+0.1%
Pennsylvania$17$2871,468+0.1%
Tennessee$17$235295+0.1%
Texas$17$22911291+0.1%
Utah$17$127418+0.1%
Virginia$17$89522+0.1%
Washington$17$323347+0.1%
Wisconsin$17$102341+0.1%
Alabama$17$309493+0.1%
Arizona$17$2684186+0.1%
Colorado$17$268550+0.1%
California$17$21716878-0.1%
Nevada$17$1842107-0.9%
South Dakota$14$98417-13.9%

⚠️ 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