82785

Ige (immune system protein) level

Medicare pricing data for 982 providers across 44 states

🤖AI Overview

This procedure has a 5.6x markup — hospitals charge $90.50 but Medicare allows only $16.10. Uninsured patients may face bills 5.6 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

Ige (immune system protein) level (HCPCS code 82785) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.10, but hospitals typically charge $90.50 — a 5.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.22

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.10, your out-of-pocket cost would be approximately $3.22. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.10
Average Hospital Charge
$90.50
Markup Ratio
5.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$90.50
Medicare Allowed$16.10
Medicare Payment$16.10

Hospitals charge 5.6x more than what Medicare allows for this procedure. Medicare actually pays $16.10 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$16$102265,449+0.2%
Idaho$16$37214+0.2%
Iowa$16$585128+0.2%
Maine$16$502115+0.2%
Massachusetts$16$93302,650+0.2%
Michigan$16$5212357+0.2%
Nebraska$16$26240+0.2%
New Hampshire$16$82520+0.2%
New Mexico$16$472195+0.2%
South Dakota$16$978234+0.2%
Colorado$16$1116302+0.2%
Georgia$16$7892,658+0.1%
Illinois$16$77414,051+0.1%
Nevada$16$9831,332+0.1%
New Jersey$16$84388,230+0.1%
Pennsylvania$16$6910889+0.1%
Tennessee$16$76111,724+0.1%
Puerto Rico$16$1798310+0.1%
California$16$905021,913+0.1%
Kansas$16$98133,065+0.1%
Maryland$16$928670+0.1%
Texas$16$100244,649+0.1%
Arizona$16$9749,089+0.1%
North Carolina$16$1048225,446-0.1%
Oregon$16$605411-0.1%
Utah$16$3019346-0.1%
Alabama$16$9692,608-0.1%
New York$16$8014112,378-0.1%
Oklahoma$16$704534-0.1%
Minnesota$16$1141061,406-0.2%
Ohio$16$86152,765-0.2%
Virginia$16$4871,229-0.2%
Kentucky$16$5337291-0.4%
Hawaii$16$572929-0.4%
Louisiana$16$5220507-0.4%
Washington$16$87341,878-0.4%
Indiana$16$6319537-0.8%
South Carolina$16$5916343-1.0%
Rhode Island$16$463140-1.1%
Mississippi$16$111873-1.2%
Wisconsin$16$9417615-1.3%
Connecticut$16$79238-1.7%
Missouri$16$801790-2.4%
North Dakota$16$58315-3.0%

⚠️ 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