Carcinoembryonic antigen (cea) protein level
Medicare pricing data for 3,835 providers across 49 states
This procedure has a 5.2x markup — hospitals charge $95.71 but Medicare allows only $18.53. Uninsured patients may face bills 5.2 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
Carcinoembryonic antigen (cea) protein level (HCPCS code 82378) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.53, but hospitals typically charge $95.71 — a 5.2x 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 $18.53, your out-of-pocket cost would be approximately $3.71. 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 5.2x more than what Medicare allows for this procedure. Medicare actually pays $18.53 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $19 | $96 | 1 | 88 | +0.3% |
| Idaho | $19 | $70 | 5 | 32 | +0.3% |
| Kansas | $19 | $119 | 32 | 7,363 | +0.3% |
| Louisiana | $19 | $110 | 14 | 874 | +0.3% |
| New Hampshire | $19 | $95 | 5 | 48 | +0.3% |
| Rhode Island | $19 | $66 | 3 | 135 | +0.3% |
| Massachusetts | $19 | $114 | 68 | 4,110 | +0.2% |
| New Jersey | $19 | $112 | 52 | 49,794 | +0.2% |
| California | $19 | $95 | 227 | 84,754 | +0.2% |
| Ohio | $19 | $92 | 57 | 8,790 | +0.2% |
| Florida | $19 | $83 | 137 | 73,095 | +0.1% |
| Maryland | $19 | $91 | 58 | 8,597 | +0.1% |
| South Dakota | $19 | $86 | 17 | 274 | +0.1% |
| Georgia | $19 | $101 | 95 | 4,948 | +0.1% |
| New York | $19 | $102 | 389 | 42,901 | +0.1% |
| Texas | $19 | $99 | 474 | 44,693 | 0.0% |
| Arizona | $19 | $112 | 48 | 13,789 | 0.0% |
| Illinois | $19 | $140 | 230 | 9,932 | -0.1% |
| Minnesota | $19 | $118 | 215 | 3,788 | -0.1% |
| New Mexico | $19 | $77 | 16 | 1,791 | -0.1% |
| North Carolina | $19 | $104 | 59 | 13,175 | -0.1% |
| Pennsylvania | $19 | $94 | 36 | 6,403 | -0.1% |
| Connecticut | $19 | $65 | 10 | 425 | -0.1% |
| Nebraska | $19 | $50 | 26 | 1,919 | -0.2% |
| Oklahoma | $19 | $77 | 20 | 1,589 | -0.2% |
| South Carolina | $19 | $122 | 59 | 3,346 | -0.2% |
| Virginia | $19 | $88 | 145 | 7,399 | -0.2% |
| Washington | $19 | $80 | 102 | 7,182 | -0.2% |
| Puerto Rico | $19 | $21 | 319 | 1,852 | -0.2% |
| Colorado | $19 | $100 | 52 | 8,139 | -0.2% |
| Iowa | $18 | $65 | 94 | 2,104 | -0.2% |
| Wisconsin | $18 | $150 | 23 | 2,905 | -0.2% |
| Arkansas | $18 | $59 | 60 | 10,969 | -0.3% |
| Michigan | $18 | $56 | 42 | 1,899 | -0.4% |
| Missouri | $18 | $112 | 37 | 626 | -0.4% |
| Nevada | $18 | $100 | 61 | 9,312 | -0.4% |
| Tennessee | $18 | $65 | 162 | 9,436 | -0.4% |
| Utah | $18 | $79 | 49 | 953 | -0.4% |
| Alabama | $18 | $84 | 102 | 6,767 | -0.5% |
| Oregon | $18 | $81 | 77 | 2,003 | -0.5% |
| Wyoming | $18 | $154 | 8 | 309 | -0.6% |
| Hawaii | $18 | $67 | 6 | 2,804 | -0.6% |
| North Dakota | $18 | $124 | 6 | 315 | -0.8% |
| Mississippi | $18 | $85 | 32 | 3,823 | -1.1% |
| West Virginia | $18 | $48 | 12 | 279 | -1.1% |
| Alaska | $18 | $267 | 1 | 65 | -1.1% |
| Maine | $18 | $42 | 19 | 372 | -1.3% |
| Indiana | $18 | $91 | 44 | 2,555 | -1.9% |
| Kentucky | $18 | $69 | 19 | 381 | -2.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber