Cholesterol level
Medicare pricing data for 1,475 providers across 44 states
This procedure has a 6.8x markup — hospitals charge $28.75 but Medicare allows only $4.25. Uninsured patients may face bills 6.8 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
Cholesterol level (HCPCS code 82465) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.25, but hospitals typically charge $28.75 — a 6.8x 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 $4.25, 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.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.8x more than what Medicare allows for this procedure. Medicare actually pays $4.25 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| West Virginia | $4 | $23 | 7 | 21 | +2.8% |
| Illinois | $4 | $36 | 35 | 1,899 | +0.2% |
| Kansas | $4 | $25 | 24 | 2,353 | +0.2% |
| Kentucky | $4 | $22 | 19 | 392 | +0.2% |
| Maine | $4 | $15 | 4 | 43 | +0.2% |
| Maryland | $4 | $30 | 20 | 1,067 | +0.2% |
| Massachusetts | $4 | $32 | 44 | 2,092 | +0.2% |
| Michigan | $4 | $11 | 41 | 1,638 | +0.2% |
| Nebraska | $4 | $13 | 19 | 286 | +0.2% |
| Nevada | $4 | $32 | 12 | 274 | +0.2% |
| New Mexico | $4 | $32 | 4 | 27 | +0.2% |
| North Carolina | $4 | $27 | 44 | 10,291 | +0.2% |
| North Dakota | $4 | $32 | 5 | 14 | +0.2% |
| Oklahoma | $4 | $18 | 17 | 1,062 | +0.2% |
| Pennsylvania | $4 | $26 | 38 | 2,556 | +0.2% |
| Rhode Island | $4 | $21 | 2 | 95 | +0.2% |
| Tennessee | $4 | $22 | 58 | 1,396 | +0.2% |
| Texas | $4 | $30 | 65 | 3,302 | +0.2% |
| Washington | $4 | $26 | 22 | 798 | +0.2% |
| Wisconsin | $4 | $41 | 45 | 466 | +0.2% |
| California | $4 | $31 | 117 | 16,247 | +0.2% |
| Connecticut | $4 | $18 | 5 | 16 | +0.2% |
| Florida | $4 | $36 | 70 | 12,325 | 0.0% |
| Georgia | $4 | $37 | 19 | 2,714 | 0.0% |
| Iowa | $4 | $26 | 32 | 807 | 0.0% |
| Louisiana | $4 | $12 | 13 | 86 | 0.0% |
| Minnesota | $4 | $30 | 47 | 5,574 | 0.0% |
| Mississippi | $4 | $27 | 25 | 2,830 | 0.0% |
| Missouri | $4 | $26 | 62 | 488 | 0.0% |
| New Jersey | $4 | $32 | 29 | 10,167 | 0.0% |
| Ohio | $4 | $17 | 103 | 3,259 | 0.0% |
| South Dakota | $4 | $20 | 20 | 382 | 0.0% |
| Virginia | $4 | $15 | 31 | 1,908 | 0.0% |
| Puerto Rico | $4 | $5 | 53 | 116 | 0.0% |
| Arizona | $4 | $28 | 10 | 6,122 | 0.0% |
| Colorado | $4 | $27 | 9 | 252 | 0.0% |
| Hawaii | $4 | $17 | 2 | 255 | -0.2% |
| Alabama | $4 | $23 | 49 | 1,500 | -0.2% |
| Arkansas | $4 | $21 | 23 | 133 | -0.2% |
| Oregon | $4 | $14 | 19 | 287 | -0.5% |
| Utah | $4 | $14 | 16 | 130 | -0.5% |
| Indiana | $4 | $17 | 27 | 193 | -0.7% |
| New York | $4 | $23 | 134 | 4,319 | -1.4% |
| South Carolina | $4 | $33 | 16 | 119 | -1.6% |
⚠️ 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