83525

Insulin measurement, total

Medicare pricing data for 2,084 providers across 46 states

🤖AI Overview

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

Insulin measurement, total (HCPCS code 83525) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.18, but hospitals typically charge $53.64 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.24

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.18, your out-of-pocket cost would be approximately $2.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$11.18
Average Hospital Charge
$53.64
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$53.64
Medicare Allowed$11.18
Medicare Payment$11.18

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $11.18 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$11$27234+0.2%
Florida$11$4018735,932+0.2%
Iowa$11$40778+0.2%
Kansas$11$4175,245+0.2%
Maine$11$39257+0.2%
Massachusetts$11$223223,129+0.2%
Missouri$11$121161,211+0.2%
North Dakota$11$293594+0.2%
Rhode Island$11$38261+0.2%
West Virginia$11$75330+0.2%
Colorado$11$86121,517+0.2%
Connecticut$11$51956+0.2%
Georgia$11$37237,106+0.1%
Maryland$11$37224,738+0.1%
Nevada$11$3471,685+0.1%
New Jersey$11$749827,103+0.1%
Ohio$11$955919,160+0.1%
Pennsylvania$11$24154,141+0.1%
Washington$11$55243,828+0.1%
Puerto Rico$11$12100513+0.1%
Arizona$11$622511,245+0.1%
California$11$5010230,190+0.1%
Indiana$11$35284920.0%
New York$11$5114819,5210.0%
North Carolina$11$666221,9360.0%
Idaho$11$2519658-0.1%
Oklahoma$11$51242,744-0.1%
Texas$11$629929,002-0.1%
Illinois$11$35985,905-0.2%
Minnesota$11$91192667-0.2%
Nebraska$11$5210261-0.2%
Hawaii$11$342941-0.3%
Louisiana$11$42571,604-0.3%
South Carolina$11$44375,588-0.4%
Alabama$11$61366,446-0.4%
Michigan$11$4217676-0.5%
New Mexico$11$495301-0.5%
South Dakota$11$675148-0.5%
Kentucky$11$43381,291-0.6%
Oregon$11$31672,671-0.7%
Tennessee$11$502415,801-0.7%
Utah$11$2586591-0.8%
Wisconsin$11$10216574-1.7%
Virginia$11$236446-2.1%
Mississippi$10$701119-9.3%
Arkansas$10$561333-13.8%

⚠️ 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