83718

Hdl cholesterol level

Medicare pricing data for 786 providers across 41 states

🤖AI Overview

This procedure has a 5.2x markup — hospitals charge $41.68 but Medicare allows only $8.02. Uninsured patients may face bills 5.2 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

Hdl cholesterol level (HCPCS code 83718) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $8.02, but hospitals typically charge $41.68 — a 5.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.60

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $8.02, your out-of-pocket cost would be approximately $1.60. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$8.02
Average Hospital Charge
$41.68
Markup Ratio
5.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$41.68
Medicare Allowed$8.02
Medicare Payment$8.02

Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $8.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$8$853610,581+0.1%
Kansas$8$4519722+0.1%
Louisiana$8$2031,377+0.1%
Maine$8$26433+0.1%
Massachusetts$8$53411,739+0.1%
Michigan$8$121514,767+0.1%
Minnesota$8$49305,573+0.1%
Mississippi$8$518608+0.1%
Nevada$8$69251+0.1%
New Jersey$8$61172,451+0.1%
New Mexico$8$52318+0.1%
New York$8$25355,624+0.1%
Pennsylvania$8$31321,552+0.1%
Rhode Island$8$43256+0.1%
Texas$8$31284,964+0.1%
West Virginia$8$24214+0.1%
Arizona$8$63115,877+0.1%
Colorado$8$535151+0.1%
Connecticut$8$30213+0.1%
Maryland$8$42125520.0%
North Carolina$8$57201,5930.0%
Virginia$8$25166990.0%
Washington$8$46146190.0%
California$8$407221,1090.0%
Indiana$8$32181,607-0.1%
Utah$8$199477-0.1%
Wisconsin$8$7340504-0.1%
Alabama$8$5014216-0.1%
Illinois$8$7218553-0.2%
Iowa$8$8524985-0.2%
Ohio$8$21811,897-0.2%
Oklahoma$8$2711249-0.2%
South Carolina$8$4212293-0.2%
Arkansas$8$227246-0.2%
Georgia$8$62121,206-0.4%
Missouri$8$28364,837-0.4%
South Dakota$8$2011151-0.5%
Tennessee$8$2727558-0.5%
Kentucky$8$2510117-0.6%
Hawaii$8$392112-0.7%
Oregon$8$2512191-0.9%

⚠️ 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