84597

Vitamin k level

Medicare pricing data for 184 providers across 29 states

🤖AI Overview

This procedure has a 18.0x markup — hospitals charge $241.31 but Medicare allows only $13.43. Uninsured patients may face bills 18.0 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 k level (HCPCS code 84597) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.43, but hospitals typically charge $241.31 — a 18.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.69

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.43, your out-of-pocket cost would be approximately $2.69. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.43
Average Hospital Charge
$241.31
Markup Ratio
18.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$241.31
Medicare Allowed$13.43
Medicare Payment$13.43

Hospitals charge 18.0x more than what Medicare allows for this procedure. Medicare actually pays $13.43 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$13$3251280+0.1%
Indiana$13$88118+0.1%
Maryland$13$2725102+0.1%
Massachusetts$13$2984133+0.1%
Minnesota$13$156482+0.1%
Nevada$13$306245+0.1%
New Mexico$13$102112+0.1%
New York$13$7491,087+0.1%
Pennsylvania$13$276569+0.1%
Tennessee$13$162247+0.1%
Utah$13$55483+0.1%
Virginia$13$164650+0.1%
Washington$13$2403127+0.1%
Wisconsin$13$158335+0.1%
Puerto Rico$13$141371+0.1%
Alabama$13$1833119+0.1%
Colorado$13$241453+0.1%
Florida$13$298101,005+0.1%
North Carolina$13$21661,541+0.1%
New Jersey$13$328131,0330.0%
Arizona$13$25933410.0%
California$13$275161,2100.0%
Kansas$13$3313431-0.1%
Texas$13$28113628-0.2%
Ohio$13$17010222-0.7%
Illinois$13$3164106-0.7%
Oklahoma$13$3043108-1.4%
Hawaii$13$162231-1.6%
Oregon$13$121432-3.0%

⚠️ 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