83001

Gonadotropin, follicle stimulating (reproductive hormone) level

Medicare pricing data for 4,208 providers across 46 states

🤖AI Overview

This procedure has a 5.3x markup — hospitals charge $96.47 but Medicare allows only $18.15. Uninsured patients may face bills 5.3 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

Gonadotropin, follicle stimulating (reproductive hormone) level (HCPCS code 83001) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.15, but hospitals typically charge $96.47 — a 5.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.15, your out-of-pocket cost would be approximately $3.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.15
Average Hospital Charge
$96.47
Markup Ratio
5.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$96.47
Medicare Allowed$18.15
Medicare Payment$18.15

Hospitals charge 5.3x more than what Medicare allows for this procedure. Medicare actually pays $18.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Massachusetts$18$691256,637+0.3%
Nevada$18$131321,287+0.3%
New Hampshire$18$761421+0.3%
Florida$18$11127728,987+0.2%
Kansas$18$133403,883+0.2%
North Dakota$18$4892,752+0.2%
Puerto Rico$18$20164714+0.2%
New Jersey$18$10514421,606+0.2%
California$18$8624035,613+0.2%
Missouri$18$174601,236+0.1%
Texas$18$10340428,413+0.1%
New York$18$9045213,220+0.1%
Pennsylvania$18$88221,855+0.1%
Colorado$18$116431,858+0.1%
New Mexico$18$7566500.0%
Maryland$18$95312,181-0.1%
Ohio$18$101645,890-0.1%
Georgia$18$124834,380-0.1%
Arizona$18$107959,969-0.1%
North Carolina$18$9619017,044-0.2%
Oklahoma$18$72502,990-0.2%
Michigan$18$4450861-0.2%
Illinois$18$1161353,121-0.3%
Kentucky$18$6344427-0.3%
South Carolina$18$57361,169-0.3%
Virginia$18$5877694-0.4%
Maine$18$571091-0.4%
Alabama$18$90727,088-0.4%
Hawaii$18$632368-0.5%
Louisiana$18$52671,354-0.5%
Washington$18$103992,371-0.5%
Oregon$18$481121,650-0.7%
Utah$18$3982509-0.7%
Tennessee$18$743023,756-1.0%
Arkansas$18$7287627-1.0%
Nebraska$18$5115310-1.0%
Minnesota$18$81198810-1.5%
Idaho$18$7024150-1.5%
South Dakota$18$911288-1.9%
Rhode Island$18$70762-2.0%
Indiana$18$6864538-2.1%
Wisconsin$18$10733667-2.3%
Iowa$18$6650213-2.3%
Connecticut$18$6421142-2.5%
Mississippi$18$9244230-3.1%
West Virginia$18$91768-3.3%

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

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