82274

Stool analysis for blood, by fecal hemoglobin determination by immunoassay

Medicare pricing data for 12,387 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, by fecal hemoglobin determination by immunoassay (HCPCS code 82274) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.53, but hospitals typically charge $72.46 — a 4.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.11

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $15.53, your out-of-pocket cost would be approximately $3.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$15.53
Average Hospital Charge
$72.46
Markup Ratio
4.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$72.46
Medicare Allowed$15.53
Medicare Payment$15.53

Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $15.53 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$16$33744+0.5%
Nevada$16$80141,943+0.5%
Rhode Island$16$3113520+0.5%
South Dakota$16$6359378+0.5%
Vermont$16$274598+0.5%
Florida$16$8952824,345+0.4%
Montana$16$463777+0.4%
Pennsylvania$16$841162,259+0.4%
Arizona$16$791476,866+0.4%
California$16$8941149,202+0.4%
Kansas$16$791762,833+0.3%
Maine$16$281091,079+0.3%
New Jersey$16$7927126,451+0.3%
Washington$16$862603,523+0.3%
Nebraska$16$40136590+0.3%
North Carolina$16$7666317,629+0.3%
Idaho$16$3850157+0.2%
Utah$16$29118347+0.2%
Maryland$16$672736,494+0.1%
Massachusetts$16$845404,817+0.1%
New Hampshire$16$4683857+0.1%
New York$16$6455813,906+0.1%
Oklahoma$16$801151,9540.0%
Hawaii$16$5662,102-0.1%
Missouri$16$582551,748-0.1%
Ohio$16$554906,087-0.1%
Arkansas$16$402822,075-0.1%
Oregon$16$471661,974-0.1%
Texas$16$8582814,986-0.1%
Puerto Rico$16$174425,283-0.1%
Mississippi$15$332024,371-0.3%
Connecticut$15$611311,305-0.3%
Wyoming$15$8740126-0.3%
Indiana$15$493011,939-0.4%
Kentucky$15$483061,961-0.4%
West Virginia$15$5461509-0.4%
South Carolina$15$554353,711-0.5%
Alabama$15$593014,393-0.5%
Iowa$15$671922,065-0.6%
North Dakota$15$5641205-0.6%
Georgia$15$4054413,124-0.6%
Illinois$15$783595,731-0.6%
Tennessee$15$517544,009-0.6%
Wisconsin$15$1041927,845-0.7%
Louisiana$15$351282,471-0.8%
Michigan$15$382312,314-1.0%
Colorado$15$581931,194-1.2%
District of Columbia$15$5720239-1.2%
Alaska$15$10570135-1.6%
Virginia$15$474002,910-2.4%
Minnesota$15$632111,118-5.3%
New Mexico$14$3161273-10.4%

⚠️ 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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