Placement of hormone pellet under skin
Medicare pricing data for 2,235 providers across 44 states
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
Placement of hormone pellet under skin (HCPCS code 11980) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $88.80, but hospitals typically charge $275.82 — a 3.1x 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 $88.80, your out-of-pocket cost would be approximately $17.76. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $66.60 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $103 | $562 | 67 | 553 | +15.9% |
| Alaska | $103 | $659 | 11 | 41 | +15.8% |
| Massachusetts | $101 | $298 | 26 | 630 | +14.1% |
| New York | $99 | $285 | 153 | 1,450 | +11.3% |
| Maryland | $96 | $219 | 56 | 732 | +7.9% |
| California | $94 | $299 | 161 | 2,396 | +6.3% |
| Nevada | $94 | $236 | 13 | 80 | +6.1% |
| Florida | $93 | $277 | 221 | 3,879 | +4.7% |
| Rhode Island | $93 | $260 | 6 | 73 | +4.7% |
| Illinois | $92 | $335 | 64 | 829 | +3.9% |
| Delaware | $92 | $238 | 12 | 341 | +3.3% |
| New Hampshire | $91 | $199 | 7 | 33 | +2.6% |
| Virginia | $91 | $251 | 37 | 357 | +2.4% |
| Texas | $89 | $261 | 185 | 3,979 | +0.8% |
| Colorado | $89 | $276 | 88 | 791 | +0.7% |
| Kansas | $88 | $203 | 15 | 169 | -1.4% |
| Louisiana | $87 | $308 | 38 | 589 | -2.2% |
| Georgia | $86 | $304 | 86 | 629 | -2.6% |
| Oregon | $86 | $301 | 37 | 210 | -3.2% |
| Alabama | $86 | $250 | 33 | 212 | -3.6% |
| North Carolina | $85 | $253 | 119 | 1,126 | -4.0% |
| Indiana | $85 | $223 | 54 | 410 | -4.6% |
| Missouri | $84 | $222 | 29 | 321 | -5.3% |
| Oklahoma | $84 | $232 | 28 | 104 | -5.6% |
| Tennessee | $83 | $232 | 75 | 1,108 | -6.0% |
| Michigan | $83 | $235 | 43 | 132 | -6.4% |
| Utah | $83 | $227 | 29 | 302 | -6.4% |
| Washington | $83 | $264 | 38 | 187 | -7.1% |
| Arizona | $82 | $230 | 58 | 497 | -7.3% |
| New Mexico | $82 | $222 | 9 | 64 | -7.9% |
| Pennsylvania | $82 | $256 | 57 | 372 | -8.0% |
| Mississippi | $82 | $345 | 21 | 179 | -8.1% |
| Minnesota | $81 | $301 | 19 | 149 | -8.9% |
| Ohio | $79 | $277 | 54 | 426 | -10.7% |
| Kentucky | $79 | $204 | 18 | 139 | -11.1% |
| South Carolina | $78 | $248 | 56 | 1,139 | -12.0% |
| Connecticut | $78 | $481 | 7 | 46 | -12.7% |
| Nebraska | $77 | $271 | 21 | 131 | -13.1% |
| Iowa | $76 | $324 | 5 | 30 | -14.4% |
| Arkansas | $74 | $259 | 33 | 488 | -17.0% |
| Wisconsin | $73 | $518 | 27 | 136 | -18.3% |
| Idaho | $71 | $173 | 20 | 185 | -19.8% |
| Montana | $55 | $112 | 7 | 31 | -37.9% |
| Vermont | $53 | $233 | 4 | 31 | -40.6% |
⚠️ 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