Alpha-fetoprotein (afp) level, serum
Medicare pricing data for 2,039 providers across 46 states
This procedure has a 6.6x markup — hospitals charge $108.07 but Medicare allows only $16.40. Uninsured patients may face bills 6.6 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
Alpha-fetoprotein (afp) level, serum (HCPCS code 82105) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.40, but hospitals typically charge $108.07 — a 6.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.40, your out-of-pocket cost would be approximately $3.28. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.6x more than what Medicare allows for this procedure. Medicare actually pays $16.40 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $16 | $19 | 120 | 397 | +0.2% |
| Georgia | $16 | $152 | 5 | 2,831 | +0.2% |
| Louisiana | $16 | $83 | 6 | 168 | +0.2% |
| Missouri | $16 | $159 | 15 | 69 | +0.2% |
| Nebraska | $16 | $52 | 8 | 112 | +0.2% |
| New Hampshire | $16 | $61 | 11 | 49 | +0.2% |
| New Mexico | $16 | $77 | 13 | 408 | +0.2% |
| Rhode Island | $16 | $42 | 1 | 217 | +0.2% |
| Utah | $16 | $43 | 17 | 185 | +0.2% |
| Alaska | $16 | $170 | 15 | 29 | +0.2% |
| Arkansas | $16 | $52 | 24 | 242 | +0.2% |
| Connecticut | $16 | $112 | 4 | 43 | +0.2% |
| Massachusetts | $16 | $131 | 113 | 2,923 | +0.1% |
| New York | $16 | $115 | 249 | 6,147 | +0.1% |
| Oklahoma | $16 | $73 | 9 | 2,059 | +0.1% |
| Pennsylvania | $16 | $117 | 13 | 1,783 | +0.1% |
| Colorado | $16 | $108 | 10 | 1,282 | +0.1% |
| Florida | $16 | $126 | 33 | 12,588 | +0.1% |
| Kansas | $16 | $128 | 26 | 3,083 | +0.1% |
| New Jersey | $16 | $123 | 83 | 14,130 | +0.1% |
| Virginia | $16 | $63 | 66 | 1,235 | +0.1% |
| California | $16 | $105 | 153 | 34,506 | +0.1% |
| Michigan | $16 | $51 | 28 | 317 | 0.0% |
| North Carolina | $16 | $98 | 19 | 10,776 | 0.0% |
| Oregon | $16 | $63 | 62 | 863 | 0.0% |
| Texas | $16 | $114 | 165 | 15,606 | 0.0% |
| Arizona | $16 | $108 | 6 | 5,017 | 0.0% |
| Illinois | $16 | $132 | 94 | 2,015 | -0.1% |
| Maryland | $16 | $104 | 11 | 1,860 | -0.1% |
| Nevada | $16 | $134 | 36 | 1,184 | -0.1% |
| Ohio | $16 | $86 | 29 | 4,438 | -0.1% |
| Indiana | $16 | $42 | 12 | 194 | -0.2% |
| South Carolina | $16 | $55 | 18 | 237 | -0.2% |
| Hawaii | $16 | $48 | 2 | 1,456 | -0.3% |
| Kentucky | $16 | $60 | 7 | 319 | -0.3% |
| Washington | $16 | $109 | 113 | 3,312 | -0.4% |
| Maine | $16 | $40 | 3 | 132 | -0.4% |
| Iowa | $16 | $75 | 36 | 615 | -0.5% |
| North Dakota | $16 | $81 | 8 | 149 | -0.5% |
| Tennessee | $16 | $58 | 91 | 1,554 | -0.5% |
| Minnesota | $16 | $122 | 170 | 1,437 | -0.5% |
| Alabama | $16 | $91 | 43 | 4,110 | -0.9% |
| South Dakota | $16 | $96 | 15 | 310 | -1.0% |
| Mississippi | $16 | $71 | 41 | 792 | -1.2% |
| Wisconsin | $16 | $120 | 16 | 1,088 | -1.3% |
| Idaho | $16 | $77 | 9 | 47 | -1.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber