82672

Estrogen analysis, total

Medicare pricing data for 241 providers across 30 states

🤖AI Overview

This procedure has a 7.9x markup — hospitals charge $168.79 but Medicare allows only $21.24. Uninsured patients may face bills 7.9 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

Estrogen analysis, total (HCPCS code 82672) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.24, but hospitals typically charge $168.79 — a 7.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.25

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.24, your out-of-pocket cost would be approximately $4.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$21.24
Average Hospital Charge
$168.79
Markup Ratio
7.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$168.79
Medicare Allowed$21.24
Medicare Payment$21.24

Hospitals charge 7.9x more than what Medicare allows for this procedure. Medicare actually pays $21.24 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$21$176196,477+0.1%
Georgia$21$21011,306+0.1%
Idaho$21$90329+0.1%
Illinois$21$2198556+0.1%
Kansas$21$1905812+0.1%
Kentucky$21$65126+0.1%
Louisiana$21$147129+0.1%
Maryland$21$1945116+0.1%
Massachusetts$21$1963250+0.1%
New Jersey$21$180133,643+0.1%
New York$21$11891,233+0.1%
Pennsylvania$21$1425233+0.1%
South Carolina$21$55320+0.1%
South Dakota$21$131218+0.1%
Utah$21$204118+0.1%
Virginia$21$755161+0.1%
Alabama$21$1453732+0.1%
Colorado$21$1797324+0.1%
Texas$21$161213,082+0.1%
California$21$188152,440+0.1%
Nevada$21$19947510.0%
North Carolina$21$154103,896-0.0%
Arizona$21$16743,309-0.0%
Michigan$21$80629-0.1%
Tennessee$21$1434195-0.3%
Ohio$21$142101,038-0.4%
Hawaii$21$1092491-0.5%
Oklahoma$21$1926272-0.5%
Puerto Rico$21$2545102-0.5%
Washington$21$1785708-1.2%

⚠️ 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