82308

Calcitonin (hormone) level

Medicare pricing data for 226 providers across 32 states

🤖AI Overview

This procedure has a 6.5x markup — hospitals charge $169.91 but Medicare allows only $26.10. Uninsured patients may face bills 6.5 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

Calcitonin (hormone) level (HCPCS code 82308) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.10, but hospitals typically charge $169.91 — a 6.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.22

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $26.10, your out-of-pocket cost would be approximately $5.22. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$26.10
Average Hospital Charge
$169.91
Markup Ratio
6.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$169.91
Medicare Allowed$26.10
Medicare Payment$26.10

Hospitals charge 6.5x more than what Medicare allows for this procedure. Medicare actually pays $26.10 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$26$148311,477+0.6%
Illinois$26$209598+0.6%
Indiana$26$156224+0.6%
Iowa$26$98213+0.6%
Kansas$26$2154139+0.6%
Maryland$26$212495+0.6%
Minnesota$26$3285183+0.6%
Nevada$26$213294+0.6%
New Mexico$26$102119+0.6%
Oklahoma$26$165490+0.6%
Oregon$26$123420+0.6%
Pennsylvania$26$1785122+0.6%
Utah$26$56241+0.6%
Virginia$26$77532+0.6%
Puerto Rico$26$331321+0.6%
Alabama$26$207593+0.6%
Colorado$26$218340+0.6%
Massachusetts$26$2183149+0.5%
New Jersey$26$191111,257+0.5%
Texas$26$21213814+0.4%
Kentucky$26$904254+0.2%
Arizona$26$1984512+0.2%
Georgia$26$2172226+0.1%
North Carolina$26$20671,556+0.1%
Ohio$26$15311130-0.2%
Tennessee$26$130397-0.4%
New York$26$122162,669-0.5%
Wisconsin$26$224567-0.8%
Washington$26$190653-0.8%
California$26$17023970-1.0%
Hawaii$26$141220-2.1%
Michigan$26$51230-2.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber