83002

Gonadotropin, luteinizing (reproductive hormone) level

Medicare pricing data for 3,325 providers across 47 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $93.02 but Medicare allows only $18.10. Uninsured patients may face bills 5.1 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, luteinizing (reproductive hormone) level (HCPCS code 83002) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.10, but hospitals typically charge $93.02 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.62

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.10, your out-of-pocket cost would be approximately $3.62. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.10
Average Hospital Charge
$93.02
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$93.02
Medicare Allowed$18.10
Medicare Payment$18.10

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $18.10 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nebraska$18$39465+0.3%
Nevada$18$133211,056+0.3%
New Hampshire$18$75711+0.3%
North Dakota$18$4762,408+0.3%
Florida$18$10524821,839+0.2%
Kansas$18$131262,258+0.2%
Massachusetts$18$70985,425+0.2%
Puerto Rico$18$20116457+0.2%
Georgia$18$123622,596+0.2%
Pennsylvania$18$87201,550+0.2%
Missouri$18$176411,159+0.1%
New Jersey$18$10514419,627+0.1%
Texas$18$9429315,727+0.1%
California$18$7820431,694+0.1%
New York$18$9242512,7440.0%
Maryland$18$109231,468-0.1%
Ohio$18$99684,465-0.1%
Colorado$18$122331,374-0.1%
Connecticut$18$6920106-0.1%
Kentucky$18$6336378-0.1%
New Mexico$18$1005258-0.1%
North Carolina$18$9913610,476-0.1%
Arizona$18$110876,257-0.1%
South Carolina$18$57331,022-0.3%
Virginia$18$6268712-0.3%
Washington$18$98761,827-0.3%
Illinois$18$1081142,298-0.4%
Louisiana$18$47571,453-0.4%
Oklahoma$18$6936920-0.4%
Michigan$18$4544716-0.5%
Alabama$18$90514,169-0.5%
Hawaii$18$632285-0.6%
Utah$18$3863528-0.8%
West Virginia$18$86656-0.9%
Maine$18$571158-0.9%
Tennessee$18$722503,048-0.9%
Oregon$18$5928456-1.0%
Arkansas$18$78751,365-1.2%
Minnesota$18$93124408-1.3%
Iowa$18$6830104-1.3%
Mississippi$18$801686-2.0%
Rhode Island$18$60766-2.0%
Wisconsin$18$11718539-2.1%
Indiana$18$7950373-2.7%
Idaho$18$582081-2.8%
South Dakota$18$971158-3.2%
Alaska$17$38462-5.2%

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

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