Estrone (hormone) level
Medicare pricing data for 195 providers across 32 states
This procedure has a 7.5x markup — hospitals charge $184.24 but Medicare allows only $24.43. Uninsured patients may face bills 7.5 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
Estrone (hormone) level (HCPCS code 82679) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.43, but hospitals typically charge $184.24 — a 7.5x 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 $24.43, your out-of-pocket cost would be approximately $4.89. 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 7.5x more than what Medicare allows for this procedure. Medicare actually pays $24.43 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $24 | $221 | 20 | 5,431 | +0.1% |
| Georgia | $24 | $241 | 2 | 644 | +0.1% |
| Idaho | $24 | $70 | 1 | 29 | +0.1% |
| Illinois | $24 | $264 | 5 | 270 | +0.1% |
| Kansas | $24 | $228 | 5 | 806 | +0.1% |
| Louisiana | $24 | $67 | 2 | 309 | +0.1% |
| Minnesota | $24 | $313 | 1 | 26 | +0.1% |
| Nevada | $24 | $241 | 1 | 108 | +0.1% |
| New Mexico | $24 | $76 | 2 | 12 | +0.1% |
| New York | $24 | $136 | 7 | 629 | +0.1% |
| Ohio | $24 | $184 | 10 | 1,423 | +0.1% |
| Oklahoma | $24 | $197 | 4 | 44 | +0.1% |
| Pennsylvania | $24 | $187 | 5 | 206 | +0.1% |
| Utah | $24 | $97 | 5 | 107 | +0.1% |
| Virginia | $24 | $101 | 3 | 42 | +0.1% |
| Wisconsin | $24 | $125 | 2 | 18 | +0.1% |
| Puerto Rico | $24 | $26 | 20 | 77 | +0.1% |
| Colorado | $24 | $201 | 4 | 175 | +0.1% |
| New Jersey | $24 | $173 | 9 | 3,414 | +0.0% |
| Texas | $24 | $188 | 11 | 2,348 | +0.0% |
| California | $24 | $209 | 15 | 1,656 | +0.0% |
| Massachusetts | $24 | $124 | 3 | 517 | 0.0% |
| Arizona | $24 | $176 | 4 | 1,369 | 0.0% |
| Alabama | $24 | $194 | 4 | 996 | -0.0% |
| North Carolina | $24 | $165 | 10 | 4,981 | -0.1% |
| Tennessee | $24 | $140 | 3 | 235 | -0.2% |
| South Carolina | $24 | $57 | 1 | 210 | -0.3% |
| Oregon | $24 | $43 | 6 | 176 | -0.4% |
| Washington | $24 | $190 | 4 | 506 | -0.5% |
| Hawaii | $24 | $124 | 2 | 191 | -0.7% |
| Indiana | $24 | $67 | 6 | 204 | -0.8% |
| Maryland | $24 | $226 | 4 | 166 | -1.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber