82310

Calcium level, total

Medicare pricing data for 7,719 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

Calcium level, total (HCPCS code 82310) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.96, but hospitals typically charge $20.99 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.99

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.96, your out-of-pocket cost would be approximately $0.99. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.96
Average Hospital Charge
$20.99
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$20.99
Medicare Allowed$4.96
Medicare Payment$4.96

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $4.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$5$14559+2.0%
Georgia$5$231758,141+2.0%
Massachusetts$5$2460120,340+2.0%
Montana$5$2115155+2.0%
North Dakota$5$3432264+2.0%
Vermont$5$192032+2.0%
Wyoming$5$241792+2.0%
Puerto Rico$5$6101338+2.0%
District of Columbia$5$2110372+1.8%
Maryland$5$25965,117+1.8%
Nevada$5$2571,041+1.8%
New Hampshire$5$1738543+1.8%
New Mexico$5$1822505+1.8%
Pennsylvania$5$211147,785+1.8%
Rhode Island$5$246919+1.8%
South Carolina$5$4416416,732+1.8%
South Dakota$5$21611,547+1.8%
Utah$5$121021,092+1.8%
Idaho$5$2031449+1.6%
Illinois$5$1528323,458+1.6%
Indiana$5$2913719,302+1.6%
Iowa$5$172137,597+1.6%
Michigan$5$141525,612+1.6%
Nebraska$5$181232,866+1.6%
Oregon$5$151011,892+1.6%
Wisconsin$5$452734,058+1.6%
Hawaii$5$2052,828+1.4%
Kentucky$5$21761,626+1.4%
Minnesota$5$3477317,820+1.4%
Virginia$5$191933,704+1.4%
Kansas$5$279210,080+1.2%
Louisiana$5$16942,848+1.2%
Mississippi$5$252314,980+1.2%
New York$5$2039513,061+1.2%
California$5$2126868,741+1.2%
Missouri$5$491381,504+0.6%
Florida$5$1834961,4090.0%
Texas$5$2034736,4700.0%
Arizona$5$259713,0980.0%
North Carolina$5$1938950,253-0.2%
Washington$5$162378,716-0.4%
Alabama$5$1511611,067-0.6%
Maine$5$1657348-0.8%
Colorado$5$20745,287-0.8%
Tennessee$5$202651,849-1.0%
West Virginia$5$221360-1.6%
Arkansas$5$191743,057-1.6%
Ohio$5$1318924,056-1.8%
Connecticut$5$1752531-3.4%
Oklahoma$5$21783,788-5.2%
Alaska$5$382128-5.8%
New Jersey$5$179252,753-6.2%

⚠️ 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