83010

Haptoglobin (serum protein) level

Medicare pricing data for 1,532 providers across 46 states

🤖AI Overview

This procedure has a 6.9x markup — hospitals charge $84.43 but Medicare allows only $12.31. Uninsured patients may face bills 6.9 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

Haptoglobin (serum protein) level (HCPCS code 83010) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.31, but hospitals typically charge $84.43 — a 6.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.31, your out-of-pocket cost would be approximately $2.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$12.31
Average Hospital Charge
$84.43
Markup Ratio
6.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$84.43
Medicare Allowed$12.31
Medicare Payment$12.31

Hospitals charge 6.9x more than what Medicare allows for this procedure. Medicare actually pays $12.31 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$12$62316+0.2%
Idaho$12$46325+0.2%
Indiana$12$958217+0.2%
Kansas$12$12782,594+0.2%
Louisiana$12$719258+0.2%
Massachusetts$12$95902,273+0.2%
Missouri$12$941078+0.2%
New Hampshire$12$541116+0.2%
New Mexico$12$441145+0.2%
Oregon$12$615241+0.2%
Rhode Island$12$42283+0.2%
Puerto Rico$12$142542+0.2%
Connecticut$12$82234+0.2%
Florida$12$743517,326+0.1%
North Carolina$12$822516,870+0.1%
California$12$986113,275+0.1%
Hawaii$12$5624400.0%
Maryland$12$75431,5500.0%
New Jersey$12$986316,2840.0%
Ohio$12$83403,1000.0%
Tennessee$12$54861,6490.0%
Texas$12$721058,0930.0%
Maine$12$382279-0.1%
New York$12$8222813,524-0.1%
Pennsylvania$12$95121,055-0.1%
Arizona$12$9573,181-0.1%
Illinois$12$98781,955-0.2%
Michigan$12$3734797-0.2%
Minnesota$12$1171791,406-0.2%
Virginia$12$60852,899-0.2%
Washington$12$88401,297-0.2%
Alabama$12$75601,970-0.2%
Colorado$12$11710383-0.2%
Georgia$12$113101,002-0.2%
Oklahoma$12$6561,958-0.2%
North Dakota$12$907124-0.3%
Nevada$12$10235841-0.4%
Utah$12$3425289-0.4%
Nebraska$12$351251-0.5%
Iowa$12$6211197-0.6%
Kentucky$12$47596-0.8%
Arkansas$12$2823645-1.1%
Wisconsin$12$9914736-1.3%
South Dakota$12$64355-1.6%
Mississippi$12$7910101-3.6%
South Carolina$12$52726-3.7%

⚠️ 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