82642

Measurement of dihydrotestosterone

Medicare pricing data for 157 providers across 29 states

🤖AI Overview

This procedure has a 6.5x markup — hospitals charge $185.04 but Medicare allows only $28.62. 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

Measurement of dihydrotestosterone (HCPCS code 82642) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.62, but hospitals typically charge $185.04 — a 6.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $28.62, your out-of-pocket cost would be approximately $5.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$28.62
Average Hospital Charge
$185.04
Markup Ratio
6.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$185.04
Medicare Allowed$28.62
Medicare Payment$28.62

Hospitals charge 6.5x more than what Medicare allows for this procedure. Medicare actually pays $28.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$29$213133,723+0.2%
Georgia$29$2342480+0.2%
Hawaii$29$128265+0.2%
Idaho$29$79230+0.2%
Kansas$29$2263516+0.2%
Louisiana$29$782315+0.2%
Maryland$29$2202142+0.2%
Nevada$29$2212241+0.2%
New Jersey$29$14782,718+0.2%
Ohio$29$20891,057+0.2%
Oklahoma$29$210347+0.2%
Oregon$29$49230+0.2%
Pennsylvania$29$1855141+0.2%
South Carolina$29$542144+0.2%
Tennessee$29$169262+0.2%
Texas$29$227101,158+0.2%
Utah$29$674156+0.2%
Virginia$29$106428+0.2%
Washington$29$1994236+0.2%
Wisconsin$29$103331+0.2%
Alabama$29$1792248+0.2%
Colorado$29$1854235+0.2%
New York$29$1276691+0.2%
North Carolina$29$17181,439+0.2%
California$29$186133,204+0.2%
Arizona$29$1952593+0.1%
Illinois$29$22344030.0%
Puerto Rico$28$371323-1.3%
Massachusetts$26$1714407-9.9%

⚠️ 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