83721

Ldl cholesterol level

Medicare pricing data for 6,154 providers across 49 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

Ldl cholesterol level (HCPCS code 83721) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.27, but hospitals typically charge $47.11 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.05

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $10.27, your out-of-pocket cost would be approximately $2.05. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$10.27
Average Hospital Charge
$47.11
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$47.11
Medicare Allowed$10.27
Medicare Payment$10.27

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $10.27 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Idaho$10$4219390+0.2%
Montana$10$358314+0.2%
New Hampshire$10$7932497+0.2%
New Jersey$10$637358,939+0.2%
New York$10$4746963,481+0.2%
West Virginia$10$75429+0.2%
Puerto Rico$10$121137+0.2%
Colorado$10$68793,886+0.2%
Connecticut$10$3576158+0.2%
Florida$10$3658281,822+0.1%
Michigan$10$177217,419+0.1%
Arizona$10$6013811,356+0.1%
Illinois$10$48675,3310.0%
Kansas$10$62779,3710.0%
Maine$10$42593210.0%
Maryland$10$44654,1350.0%
Massachusetts$10$3335024,9730.0%
Nevada$10$50132,9770.0%
Pennsylvania$10$358211,3170.0%
Rhode Island$10$24103,6360.0%
Texas$10$5339836,4860.0%
Washington$10$7120619,8580.0%
California$10$4919163,4250.0%
Hawaii$10$473864-0.1%
Indiana$10$36483,867-0.1%
North Carolina$10$7529322,961-0.1%
Ohio$10$4630018,124-0.1%
Oklahoma$10$52326,021-0.1%
South Dakota$10$35302,010-0.1%
Virginia$10$4020010,574-0.1%
Nebraska$10$2916451-0.2%
South Carolina$10$291039,268-0.2%
Alaska$10$916151-0.2%
Iowa$10$58905,292-0.3%
Missouri$10$311574,372-0.3%
Arkansas$10$261134,189-0.3%
Georgia$10$4315617,286-0.5%
Minnesota$10$385112,531-0.5%
New Mexico$10$39171,873-0.5%
Oregon$10$311089,270-0.5%
Utah$10$211022,481-0.5%
Louisiana$10$51771,601-0.8%
Mississippi$10$40255,559-0.8%
Tennessee$10$464234,619-0.8%
Alabama$10$55596,797-1.1%
North Dakota$10$4113114-1.2%
Wisconsin$10$76922,998-1.2%
Kentucky$10$31864,978-1.4%
District of Columbia$10$182164-2.0%

⚠️ 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