Georgia · 82164

Angiotensin L - Converting Enzyme (ace) Level in Georgia

Georgia Medicare Avg
$14.31
0% above national avg
National Medicare Avg
$14.24
All states combined
Billed Charge (GA)
$147.88
What providers submit
Est. Commercial (GA)
$32.20
National avg: $31.90
Est. Cash / Self-Pay (GA)
$51.40
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.0K
Services in GA
4
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Georgia

Provider Medicare Services
Quest Diagnostics Clinical... $14.31 1.0K

Georgia Pricing in Context

In Georgia, CPT code 82164 (Angiotensin L - Converting Enzyme (ace) Level) carries an average Medicare payment of $14.31 — 0% above the national benchmark of $14.24. 4 providers across the state submitted claims for this procedure in 2023, performing 1.0K total services. Individual payments in GA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Georgia is $147.88, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Georgia sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Laboratory procedures, the estimated commercial insurance price in Georgia lands near $32.20, with self-pay cash prices typically around $51.40. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Angiotensin L - Converting Enzyme (ace) Level cost in Georgia?

The average Medicare payment for Angiotensin L - Converting Enzyme (ace) Level in Georgia is $14.31, which is 0% above the national average of $14.24. Providers in GA typically bill $147.88 for this procedure.

What does Angiotensin L - Converting Enzyme (ace) Level cost with insurance in Georgia?

With commercial insurance in Georgia, Angiotensin L - Converting Enzyme (ace) Level costs an estimated $32.20. Without insurance, the estimated cash price is $51.40. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Angiotensin L - Converting Enzyme (ace) Level in Georgia?

4 providers in Georgia billed Medicare for Angiotensin L - Converting Enzyme (ace) Level in 2023, performing 1.0K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Angiotensin L - Converting Enzyme (ace) Level cheaper in Georgia than the national average?

No — Angiotensin L - Converting Enzyme (ace) Level costs 0% above the national average in Georgia. The state average Medicare payment is $14.31 compared to $14.24 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial