82787

Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses

Medicare pricing data for 276 providers across 37 states

🤖AI Overview

This procedure has a 11.1x markup — hospitals charge $86.84 but Medicare allows only $7.84. Uninsured patients may face bills 11.1 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

Gammaglobulin (immune system protein) measurement, immunoglobulin subclasses (HCPCS code 82787) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.84, but hospitals typically charge $86.84 — a 11.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.57

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $7.84, your out-of-pocket cost would be approximately $1.57. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$7.84
Average Hospital Charge
$86.84
Markup Ratio
11.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$86.84
Medicare Allowed$7.84
Medicare Payment$7.84

Hospitals charge 11.1x more than what Medicare allows for this procedure. Medicare actually pays $7.84 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$8$6858,011+0.3%
Illinois$8$9451,535+0.3%
Iowa$8$704167+0.3%
Kansas$8$7954,728+0.3%
Louisiana$8$1083314+0.3%
Maine$8$481219+0.3%
Massachusetts$8$9442,765+0.3%
Michigan$8$67590+0.3%
Minnesota$8$109331,628+0.3%
New Mexico$8$29164+0.3%
North Carolina$8$1081010,788+0.3%
Oregon$8$533155+0.3%
Rhode Island$8$14190+0.3%
South Carolina$8$512348+0.3%
South Dakota$8$693173+0.3%
Tennessee$8$643596+0.3%
Texas$8$903614,743+0.3%
Colorado$8$11561,695+0.3%
Florida$8$931315,802+0.1%
New Jersey$8$1021716,430+0.1%
New York$8$7782,926+0.1%
California$8$882313,898+0.1%
Maryland$8$8751,4930.0%
Ohio$8$92133,6990.0%
Oklahoma$8$8641,6320.0%
Arizona$8$8543,9130.0%
Pennsylvania$8$805889-0.1%
Alabama$8$51312,360-0.4%
Connecticut$8$712113-0.4%
Washington$8$8661,629-0.5%
Nevada$8$931316-0.6%
Utah$8$245637-0.6%
Mississippi$8$1,021273-0.9%
Wisconsin$8$986303-1.7%
Indiana$8$582103-3.4%
Virginia$8$186765-3.8%
Hawaii$7$462188-4.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber