Carbohydrate analysis, single quantitative
Medicare pricing data for 80 providers across 10 states
This procedure has a 9.3x markup — hospitals charge $104.66 but Medicare allows only $11.30. Uninsured patients may face bills 9.3 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
Carbohydrate analysis, single quantitative (HCPCS code 84378) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.30, but hospitals typically charge $104.66 — a 9.3x 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 $11.30, your out-of-pocket cost would be approximately $2.26. 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 9.3x more than what Medicare allows for this procedure. Medicare actually pays $11.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Illinois | $11 | $110 | 1 | 24 | 0.0% |
| Kansas | $11 | $94 | 2 | 44 | 0.0% |
| Maryland | $11 | $84 | 3 | 146 | 0.0% |
| New Jersey | $11 | $74 | 11 | 4,590 | 0.0% |
| New York | $11 | $137 | 13 | 10,612 | 0.0% |
| Ohio | $11 | $99 | 3 | 220 | 0.0% |
| Pennsylvania | $11 | $13 | 5 | 531 | 0.0% |
| Texas | $11 | $111 | 5 | 405 | 0.0% |
| Colorado | $11 | $84 | 2 | 76 | 0.0% |
| Florida | $11 | $55 | 21 | 3,011 | -0.3% |
⚠️ 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