Arkansas · 83835

Metanephrines Level in Arkansas

Arkansas Medicare Avg
$16.60
0% above national avg
National Medicare Avg
$16.57
All states combined
Billed Charge (AR)
$42.00
What providers submit
Est. Commercial (AR)
$34.86
National avg: $37.12
Est. Cash / Self-Pay (AR)
$24.00
Typical self-pay discount

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

13
Services in AR
7
Providers
N/A
Min Payment
N/A
Max Payment

Arkansas Pricing in Context

In Arkansas, CPT code 83835 (Metanephrines Level) carries an average Medicare payment of $16.60 — 0% above the national benchmark of $16.57. 7 providers across the state submitted claims for this procedure in 2023, performing 13 total services. Individual payments in AR 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 Arkansas is $42.00, 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 Arkansas 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 Arkansas lands near $34.86, with self-pay cash prices typically around $24.00. 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 Metanephrines Level cost in Arkansas?

The average Medicare payment for Metanephrines Level in Arkansas is $16.60, which is 0% above the national average of $16.57. Providers in AR typically bill $42.00 for this procedure.

What does Metanephrines Level cost with insurance in Arkansas?

With commercial insurance in Arkansas, Metanephrines Level costs an estimated $34.86. Without insurance, the estimated cash price is $24.00. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Metanephrines Level in Arkansas?

7 providers in Arkansas billed Medicare for Metanephrines Level in 2023, performing 13 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Metanephrines Level cheaper in Arkansas than the national average?

No — Metanephrines Level costs 0% above the national average in Arkansas. The state average Medicare payment is $16.60 compared to $16.57 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