88738

Hemoglobin measurement

Medicare pricing data for 252 providers across 24 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

Hemoglobin measurement (HCPCS code 88738) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.90, but hospitals typically charge $20.03 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.98

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.90, your out-of-pocket cost would be approximately $0.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.90
Average Hospital Charge
$20.03
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$20.03
Medicare Allowed$4.90
Medicare Payment$4.90

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $4.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Illinois$5$19826+0.4%
Indiana$5$1410101+0.4%
Maryland$5$15221+0.4%
Massachusetts$5$20355+0.4%
Michigan$5$15372+0.4%
North Carolina$5$1529302+0.4%
Oregon$5$20380+0.4%
Tennessee$5$19375+0.4%
Washington$5$15417+0.4%
Wisconsin$5$345274+0.4%
Alabama$5$1051,160+0.4%
Colorado$5$1813515+0.4%
Florida$5$14171,490+0.2%
Kentucky$5$1213516+0.2%
Minnesota$5$1612589+0.2%
Arizona$5$105473+0.2%
California$5$25301,386+0.2%
New York$5$32142,2590.0%
Pennsylvania$5$19151,1750.0%
Iowa$5$225166-0.6%
New Jersey$5$2010634-1.2%
South Carolina$5$1718144-1.6%
Oklahoma$5$8130-2.2%
West Virginia$5$24237-3.9%

⚠️ 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