84300

Urine sodium level

Medicare pricing data for 1,025 providers across 46 states

🤖AI Overview

This procedure has a 5.6x markup — hospitals charge $27.74 but Medicare allows only $4.96. Uninsured patients may face bills 5.6 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

Urine sodium level (HCPCS code 84300) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.96, but hospitals typically charge $27.74 — a 5.6x 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 $4.96, 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
$4.96
Average Hospital Charge
$27.74
Markup Ratio
5.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$27.74
Medicare Allowed$4.96
Medicare Payment$4.96

Hospitals charge 5.6x more than what Medicare allows for this procedure. Medicare actually pays $4.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Mississippi$5$308104+3.2%
Puerto Rico$5$549121+0.2%
Florida$5$46296,9870.0%
Idaho$5$244280.0%
Illinois$5$191953,1580.0%
Indiana$5$3961290.0%
Kansas$5$51182,4510.0%
Massachusetts$5$6161,9560.0%
Nebraska$5$173850.0%
Nevada$5$4525950.0%
New Hampshire$5$1716210.0%
New Jersey$5$43197,5090.0%
New Mexico$5$2564930.0%
North Carolina$5$37697,4090.0%
North Dakota$5$419830.0%
Ohio$5$33171,9760.0%
Oklahoma$5$24103,2030.0%
Pennsylvania$5$45161,0110.0%
Rhode Island$5$1831150.0%
South Dakota$5$303720.0%
Tennessee$5$31248020.0%
Utah$5$227850.0%
Arizona$5$2773,7880.0%
California$5$217332,9330.0%
Colorado$5$3384160.0%
Connecticut$5$392280.0%
Maryland$5$469754-0.2%
Missouri$5$2435754-0.2%
New York$5$40382,570-0.2%
Oregon$5$1712429-0.2%
Texas$5$42876,827-0.2%
Alabama$5$35211,737-0.2%
Kentucky$5$238192-0.4%
Michigan$5$1935562-0.4%
Minnesota$5$381712,051-0.4%
Washington$5$41141,120-0.4%
Wisconsin$5$36161,038-0.4%
Georgia$5$40463,000-0.6%
Virginia$5$1927758-0.6%
Hawaii$5$182494-0.8%
Louisiana$5$2222108-0.8%
Iowa$5$258226-1.0%
South Carolina$5$14573-1.0%
Maine$5$22275-2.4%
West Virginia$5$22282-2.4%
Arkansas$5$1824106-3.0%

⚠️ 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