84075

Phosphatase (enzyme) level, alkaline

Medicare pricing data for 3,913 providers across 50 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

Phosphatase (enzyme) level, alkaline (HCPCS code 84075) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.94, but hospitals typically charge $17.88 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.99

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.94, your out-of-pocket cost would be approximately $0.99. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.94
Average Hospital Charge
$17.88
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$17.88
Medicare Allowed$4.94
Medicare Payment$4.94

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $4.94 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Kentucky$5$1619213+2.8%
Maryland$5$32311,110+2.8%
Massachusetts$5$2541215,448+2.8%
Montana$5$14618+2.8%
New Mexico$5$196114+2.8%
Rhode Island$5$1271,617+2.8%
South Carolina$5$18723,478+2.8%
Utah$5$1117398+2.8%
Vermont$5$3638137+2.8%
Wyoming$5$161152+2.8%
Puerto Rico$5$652123+2.8%
Delaware$5$11439+2.6%
Georgia$5$21884,301+2.6%
Nevada$5$2216555+2.6%
Indiana$5$265018,292+2.4%
Iowa$5$15982,273+2.4%
Louisiana$5$18955,242+2.4%
Minnesota$5$4150317,392+2.4%
Pennsylvania$5$13483,598+2.4%
Illinois$5$99515,130+2.2%
Michigan$5$145411,040+2.2%
South Dakota$5$2123119+2.2%
Mississippi$5$211002,218+2.0%
Nebraska$5$20351,712+2.0%
New Hampshire$5$1222103+1.8%
Missouri$5$111221,673+1.6%
Oregon$5$1933423+1.4%
Idaho$5$121189+1.2%
California$5$2019551,275+1.2%
Connecticut$5$2416305+1.2%
New York$5$2223013,173+1.0%
Tennessee$5$211122,659+1.0%
Florida$5$1513746,698+0.8%
Hawaii$5$1971,021+0.8%
Kansas$5$17383,927+0.6%
Virginia$5$26731,071+0.6%
Wisconsin$5$392102,654+0.6%
West Virginia$5$131044+0.2%
Colorado$5$22413,782+0.2%
North Carolina$5$1316039,6700.0%
Texas$5$1618226,3840.0%
Washington$5$17445,571-0.4%
Alabama$5$10268,012-0.6%
North Dakota$5$281142-0.8%
Ohio$5$1412520,714-3.0%
Arkansas$5$15721,311-3.6%
Arizona$5$186010,938-4.5%
Maine$5$1513124-7.5%
New Jersey$5$123636,165-7.7%
Oklahoma$4$32331,963-9.9%

⚠️ 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