82530

Cortisol (hormone) measurement, free

Medicare pricing data for 258 providers across 35 states

🤖AI Overview

This procedure has a 7.2x markup — hospitals charge $117.25 but Medicare allows only $16.33. Uninsured patients may face bills 7.2 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

Cortisol (hormone) measurement, free (HCPCS code 82530) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.33, but hospitals typically charge $117.25 — a 7.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.33, your out-of-pocket cost would be approximately $3.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.33
Average Hospital Charge
$117.25
Markup Ratio
7.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$117.25
Medicare Allowed$16.33
Medicare Payment$16.33

Hospitals charge 7.2x more than what Medicare allows for this procedure. Medicare actually pays $16.33 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$16$103113,157+0.3%
Indiana$16$99164+0.3%
Kansas$16$1388722+0.3%
Kentucky$16$59128+0.3%
Louisiana$16$153213+0.3%
Maryland$16$1405636+0.3%
Massachusetts$16$12361,344+0.3%
Nevada$16$1592652+0.3%
New Jersey$16$13192,812+0.3%
New York$16$8614894+0.3%
Pennsylvania$16$1357543+0.3%
Tennessee$16$72268+0.3%
Virginia$16$565146+0.3%
Wisconsin$16$1476250+0.3%
Colorado$16$150497+0.3%
Connecticut$16$104217+0.3%
Georgia$16$1423890+0.2%
Ohio$16$125132780.0%
Oregon$16$4552660.0%
Illinois$16$1407686-0.1%
North Carolina$16$9777,175-0.1%
Texas$16$132292,325-0.2%
Puerto Rico$16$17921-0.2%
California$16$121263,331-0.2%
Arizona$16$14551,032-0.2%
Utah$16$504141-0.3%
Minnesota$16$2187245-0.4%
Hawaii$16$1332266-0.5%
New Mexico$16$917200-0.5%
Oklahoma$16$1224195-0.6%
Washington$16$1427232-1.7%
Alabama$16$1315125-2.0%
Iowa$16$54528-2.6%
South Carolina$16$170329-4.5%
South Dakota$15$64328-5.5%

⚠️ 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