84590

Vitamin a level

Medicare pricing data for 275 providers across 38 states

🤖AI Overview

This procedure has a 10.6x markup — hospitals charge $119.57 but Medicare allows only $11.32. Uninsured patients may face bills 10.6 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

Vitamin a level (HCPCS code 84590) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.32, but hospitals typically charge $119.57 — a 10.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.26

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.32, 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.

Average Allowed Cost
$11.32
Average Hospital Charge
$119.57
Markup Ratio
10.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$119.57
Medicare Allowed$11.32
Medicare Payment$11.32

Hospitals charge 10.6x more than what Medicare allows for this procedure. Medicare actually pays $11.32 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$11$1622692+0.5%
Idaho$11$125113+0.5%
Indiana$11$116344+0.5%
Kentucky$11$32325+0.5%
Louisiana$11$90216+0.5%
Maine$11$30224+0.5%
Massachusetts$11$1506875+0.5%
New Jersey$11$112176,134+0.5%
New Mexico$11$87131+0.5%
New York$11$83142,500+0.5%
Rhode Island$11$49138+0.5%
South Dakota$11$65425+0.5%
Utah$11$264318+0.5%
Puerto Rico$11$121265+0.5%
Arizona$11$12641,262+0.5%
Colorado$11$1167178+0.5%
Maryland$11$1474562+0.4%
North Carolina$11$111105,516+0.4%
Pennsylvania$11$5771,041+0.4%
Texas$11$131152,464+0.4%
Florida$11$156123,443+0.4%
Illinois$11$17912975+0.4%
Kansas$11$14761,082+0.3%
Nevada$11$1472291+0.3%
Alabama$11$974372+0.3%
Ohio$11$9112999+0.2%
Oklahoma$11$1413358+0.1%
Virginia$11$356208+0.1%
Wisconsin$11$1207149-0.1%
Washington$11$967643-0.2%
Hawaii$11$742232-0.3%
Minnesota$11$1567677-0.4%
Tennessee$11$838253-0.4%
California$11$135244,201-2.3%
Oregon$11$494134-2.7%
Iowa$11$356178-3.1%
South Carolina$11$34522-4.1%
Michigan$10$23952-9.7%

⚠️ 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