Lead level
Medicare pricing data for 278 providers across 34 states
This procedure has a 6.6x markup — hospitals charge $77.53 but Medicare allows only $11.82. Uninsured patients may face bills 6.6 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
Lead level (HCPCS code 83655) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.82, but hospitals typically charge $77.53 — a 6.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.82, your out-of-pocket cost would be approximately $2.36. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.6x more than what Medicare allows for this procedure. Medicare actually pays $11.82 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $12 | $104 | 4 | 1,065 | +0.4% |
| Illinois | $12 | $103 | 3 | 66 | +0.4% |
| Kentucky | $12 | $45 | 3 | 24 | +0.4% |
| Louisiana | $12 | $57 | 5 | 13 | +0.4% |
| Maryland | $12 | $95 | 5 | 274 | +0.4% |
| Massachusetts | $12 | $93 | 17 | 100 | +0.4% |
| Mississippi | $12 | $357 | 6 | 35 | +0.4% |
| Nevada | $12 | $109 | 2 | 384 | +0.4% |
| New Mexico | $12 | $39 | 3 | 83 | +0.4% |
| New York | $12 | $53 | 10 | 471 | +0.4% |
| Pennsylvania | $12 | $26 | 9 | 2,334 | +0.4% |
| South Carolina | $12 | $45 | 2 | 38 | +0.4% |
| Utah | $12 | $27 | 5 | 231 | +0.4% |
| Florida | $12 | $106 | 17 | 3,439 | +0.3% |
| North Carolina | $12 | $60 | 10 | 10,432 | +0.3% |
| Ohio | $12 | $77 | 13 | 750 | +0.3% |
| Texas | $12 | $99 | 15 | 1,781 | +0.3% |
| Alabama | $12 | $82 | 5 | 356 | +0.3% |
| New Jersey | $12 | $93 | 15 | 5,130 | +0.3% |
| Tennessee | $12 | $82 | 3 | 495 | +0.3% |
| Arizona | $12 | $95 | 5 | 600 | +0.3% |
| Kansas | $12 | $110 | 5 | 512 | +0.1% |
| Colorado | $12 | $97 | 6 | 198 | +0.1% |
| Hawaii | $12 | $57 | 2 | 470 | -0.2% |
| Oklahoma | $12 | $86 | 6 | 126 | -0.3% |
| Minnesota | $12 | $73 | 6 | 60 | -0.7% |
| Iowa | $12 | $20 | 5 | 33 | -0.8% |
| Washington | $12 | $70 | 6 | 512 | -0.8% |
| Oregon | $12 | $42 | 5 | 113 | -1.4% |
| California | $12 | $96 | 26 | 3,608 | -1.5% |
| Indiana | $12 | $53 | 4 | 44 | -1.6% |
| Michigan | $11 | $35 | 9 | 53 | -2.8% |
| Wisconsin | $11 | $84 | 6 | 36 | -4.4% |
| Virginia | $11 | $26 | 4 | 315 | -7.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber