82270

Stool analysis for blood to screen for colon tumors

Medicare pricing data for 12,941 providers across 52 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

Stool analysis for blood to screen for colon tumors (HCPCS code 82270) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.27, but hospitals typically charge $18.14 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.85

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.27, your out-of-pocket cost would be approximately $0.85. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.27
Average Hospital Charge
$18.14
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$18.14
Medicare Allowed$4.27
Medicare Payment$4.27

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $4.27 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Idaho$4$2152205+0.5%
Iowa$4$1383729+0.5%
Maine$4$173499+0.5%
Massachusetts$4$182773,868+0.5%
Minnesota$4$202744+0.5%
Montana$4$1535132+0.5%
Nebraska$4$20124713+0.5%
North Dakota$4$21919+0.5%
South Dakota$4$2034186+0.5%
Vermont$4$1360210+0.5%
Wyoming$4$263493+0.5%
Alaska$4$473975+0.5%
Kansas$4$15110877+0.2%
Louisiana$4$231501,072+0.2%
Maryland$4$183342,588+0.2%
Mississippi$4$172632,865+0.2%
Nevada$4$2044293+0.2%
New Jersey$4$183938,378+0.2%
New York$4$211,06920,038+0.2%
Oregon$4$15110789+0.2%
Rhode Island$4$13681,163+0.2%
Virginia$4$184863,508+0.2%
West Virginia$4$19104841+0.2%
Connecticut$4$192542,585+0.2%
Florida$4$147778,5220.0%
Indiana$4$192081,1110.0%
Michigan$4$122692,9660.0%
New Hampshire$4$17645260.0%
North Carolina$4$196933,4670.0%
Pennsylvania$4$145254,1250.0%
South Carolina$4$184153,3720.0%
District of Columbia$4$2413295-0.2%
Georgia$4$195605,350-0.2%
Illinois$4$272502,447-0.2%
Ohio$4$164762,625-0.2%
Oklahoma$4$181891,935-0.2%
Tennessee$4$195413,696-0.2%
Wisconsin$4$2860134-0.2%
Arizona$4$101904,895-0.2%
California$4$2080916,637-0.2%
Kentucky$4$162691,139-0.5%
Missouri$4$172161,179-0.5%
New Mexico$4$1674948-0.5%
Texas$4$238608,500-0.5%
Washington$4$14144626-0.5%
Puerto Rico$4$5100327-0.5%
Alabama$4$113573,115-0.5%
Colorado$4$17181623-0.5%
Arkansas$4$143151,573-0.7%
Hawaii$4$1728249-0.9%
Utah$4$1395406-0.9%
Delaware$4$1559319-1.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber