Stool calprotectin (protein) level
Medicare pricing data for 431 providers across 41 states
This procedure has a 9.8x markup — hospitals charge $187.43 but Medicare allows only $19.21. Uninsured patients may face bills 9.8 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
Stool calprotectin (protein) level (HCPCS code 83993) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.21, but hospitals typically charge $187.43 — a 9.8x 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 $19.21, your out-of-pocket cost would be approximately $3.84. 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 9.8x more than what Medicare allows for this procedure. Medicare actually pays $19.21 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $19 | $78 | 3 | 6,396 | +0.2% |
| Illinois | $19 | $217 | 10 | 1,300 | +0.2% |
| Indiana | $19 | $156 | 1 | 170 | +0.2% |
| Kentucky | $19 | $60 | 2 | 91 | +0.2% |
| Louisiana | $19 | $237 | 3 | 19 | +0.2% |
| Nevada | $19 | $254 | 2 | 509 | +0.2% |
| New Hampshire | $19 | $63 | 15 | 31 | +0.2% |
| New Mexico | $19 | $499 | 2 | 260 | +0.2% |
| North Dakota | $19 | $190 | 9 | 39 | +0.2% |
| Pennsylvania | $19 | $296 | 7 | 817 | +0.2% |
| Rhode Island | $19 | $60 | 1 | 231 | +0.2% |
| South Carolina | $19 | $187 | 5 | 40 | +0.2% |
| South Dakota | $19 | $86 | 4 | 263 | +0.2% |
| Connecticut | $19 | $213 | 2 | 56 | +0.2% |
| Florida | $19 | $262 | 10 | 7,105 | +0.1% |
| Kansas | $19 | $255 | 4 | 1,654 | +0.1% |
| Massachusetts | $19 | $256 | 12 | 3,298 | +0.1% |
| North Carolina | $19 | $216 | 7 | 25,060 | +0.1% |
| Virginia | $19 | $111 | 8 | 843 | +0.1% |
| New Jersey | $19 | $116 | 72 | 24,716 | +0.1% |
| New York | $19 | $277 | 14 | 2,124 | +0.1% |
| Ohio | $19 | $170 | 13 | 2,017 | +0.1% |
| Texas | $19 | $262 | 25 | 4,688 | +0.1% |
| California | $19 | $226 | 36 | 8,599 | +0.1% |
| Alabama | $19 | $215 | 3 | 1,252 | 0.0% |
| Arizona | $19 | $253 | 4 | 4,505 | 0.0% |
| Arkansas | $19 | $41 | 6 | 1,567 | -0.1% |
| Oklahoma | $19 | $208 | 5 | 887 | -0.2% |
| Oregon | $19 | $193 | 6 | 571 | -0.2% |
| Utah | $19 | $44 | 8 | 964 | -0.3% |
| Tennessee | $19 | $61 | 4 | 1,093 | -0.3% |
| Maryland | $19 | $129 | 11 | 2,525 | -0.4% |
| Washington | $19 | $246 | 15 | 3,391 | -0.4% |
| Colorado | $19 | $208 | 6 | 338 | -0.4% |
| Minnesota | $19 | $210 | 44 | 1,135 | -0.4% |
| Maine | $19 | $131 | 5 | 124 | -0.5% |
| Iowa | $19 | $113 | 5 | 80 | -0.6% |
| Hawaii | $19 | $213 | 2 | 217 | -0.7% |
| Wisconsin | $19 | $175 | 12 | 1,056 | -0.9% |
| Mississippi | $19 | $514 | 2 | 165 | -1.2% |
| Michigan | $15 | $81 | 8 | 100 | -20.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber