84311

Chemical analysis using spectrophotometry (light)

Medicare pricing data for 174 providers across 26 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

Chemical analysis using spectrophotometry (light) (HCPCS code 84311) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.92, but hospitals typically charge $25.10 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $7.92, your out-of-pocket cost would be approximately $1.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$7.92
Average Hospital Charge
$25.10
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$25.10
Medicare Allowed$7.92
Medicare Payment$7.92

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $7.92 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$8$23102,164+0.3%
Illinois$8$144429+0.3%
Kansas$8$2563,460+0.3%
Maine$8$106781+0.3%
Massachusetts$8$425280+0.3%
Minnesota$8$129423+0.3%
Missouri$8$2449,205+0.3%
Nevada$8$40465+0.3%
New Jersey$8$9810177+0.3%
New York$8$845104+0.3%
North Carolina$8$30610,405+0.3%
Ohio$8$1961,063+0.3%
Oregon$8$61282+0.3%
Pennsylvania$8$68733+0.3%
Texas$8$458192+0.3%
Utah$8$18227+0.3%
Virginia$8$60548+0.3%
Washington$8$65673+0.3%
Arizona$8$123390+0.3%
Colorado$8$115319+0.3%
Michigan$8$158560+0.1%
Alabama$8$1297,742-0.5%
Oklahoma$8$166544-0.9%
California$8$10116312-1.1%
Georgia$8$274931-1.3%
South Carolina$7$22212-12.8%

⚠️ 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