82668

Erythropoietin (protein) level

Medicare pricing data for 592 providers across 41 states

🤖AI Overview

This procedure has a 7.5x markup — hospitals charge $137.98 but Medicare allows only $18.38. Uninsured patients may face bills 7.5 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

Erythropoietin (protein) level (HCPCS code 82668) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.38, but hospitals typically charge $137.98 — a 7.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.38, your out-of-pocket cost would be approximately $3.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.38
Average Hospital Charge
$137.98
Markup Ratio
7.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$137.98
Medicare Allowed$18.38
Medicare Payment$18.38

Hospitals charge 7.5x more than what Medicare allows for this procedure. Medicare actually pays $18.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Minnesota$18$24971,068+0.2%
Georgia$18$19041,264+0.2%
Hawaii$18$712315+0.2%
Illinois$18$215311,457+0.2%
Indiana$18$1505367+0.2%
Louisiana$18$113427+0.2%
Maine$18$62294+0.2%
Massachusetts$18$18771,406+0.2%
Missouri$18$215527+0.2%
Nebraska$18$506317+0.2%
New Hampshire$18$61922+0.2%
New Jersey$18$1711410,582+0.2%
New Mexico$18$2421136+0.2%
Oklahoma$18$1277394+0.2%
Pennsylvania$18$1748936+0.2%
Rhode Island$18$33132+0.2%
South Dakota$18$112224+0.2%
Virginia$18$6410307+0.2%
Wisconsin$18$1487364+0.2%
Colorado$18$1628414+0.2%
Kansas$18$18651,452+0.1%
Florida$18$1152011,454+0.1%
Maryland$18$18981,326+0.1%
New York$18$1661611,692+0.1%
North Carolina$18$129146,230+0.1%
Washington$18$140141,1390.0%
California$18$1544110,3830.0%
Texas$18$105279,586-0.1%
Nevada$18$16833748-0.1%
Ohio$18$127142,401-0.2%
Arizona$18$13152,313-0.2%
Utah$18$404408-0.3%
Puerto Rico$18$2158151-0.3%
Tennessee$18$59923,504-0.4%
Alabama$18$72332,075-0.4%
Michigan$18$5010508-0.5%
South Carolina$18$614162-0.5%
Oregon$18$865209-0.7%
Arkansas$18$42251,040-1.0%
Iowa$18$624184-1.1%
Kentucky$18$67326-3.3%

⚠️ 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