83970

Parathormone (parathyroid hormone) level

Medicare pricing data for 11,230 providers across 51 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 1.7 million services annually. Even small pricing inefficiencies here affect millions of patients. 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

Parathormone (parathyroid hormone) level (HCPCS code 83970) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.34, but hospitals typically charge $178.99 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.07

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $40.34, your out-of-pocket cost would be approximately $8.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$40.34
Average Hospital Charge
$178.99
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$178.99
Medicare Allowed$40.34
Medicare Payment$40.34

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $40.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$40$78370+0.3%
Montana$40$418725+0.3%
New Mexico$40$81195,650+0.3%
Wyoming$40$741379+0.3%
Kansas$40$2148847,528+0.2%
Massachusetts$40$19760144,036+0.2%
Nevada$40$2231018,649+0.2%
New Jersey$40$195321156,806+0.2%
Maryland$40$23510422,855+0.1%
Nebraska$40$10162,780+0.1%
Pennsylvania$40$1767421,964+0.1%
Arizona$40$166244104,214+0.1%
Colorado$40$1694010,514+0.1%
Michigan$40$8215422,793+0.1%
Missouri$40$1782355,840+0.1%
New York$40$18796277,512+0.1%
Louisiana$40$1171436,810+0.0%
New Hampshire$40$14338364+0.0%
North Carolina$40$167560171,875+0.0%
Ohio$40$14937756,635+0.0%
Texas$40$176790184,072+0.0%
California$40$189414213,027+0.0%
Georgia$40$21131350,696+0.0%
Oklahoma$40$2014621,101+0.0%
Florida$40$191787163,8950.0%
North Dakota$40$136266,8180.0%
Idaho$40$95403,689-0.0%
Indiana$40$1241219,372-0.0%
Rhode Island$40$148142,053-0.1%
South Carolina$40$14315712,493-0.1%
Alabama$40$15213944,433-0.1%
Virginia$40$12830024,148-0.1%
Connecticut$40$182971,656-0.1%
Maine$40$108452,361-0.2%
Hawaii$40$12938,286-0.2%
Iowa$40$11819210,587-0.2%
Utah$40$832225,724-0.2%
Washington$40$16139534,881-0.2%
Illinois$40$22338642,652-0.2%
Puerto Rico$40$453822,873-0.2%
Oregon$40$11218910,338-0.2%
South Dakota$40$184533,990-0.2%
Tennessee$40$16475538,251-0.4%
Kentucky$40$144706,354-0.4%
Minnesota$40$21282715,216-0.5%
Wisconsin$40$26314319,385-0.7%
Mississippi$40$194536,668-0.9%
West Virginia$40$160181,231-1.0%
Alaska$40$31526151-1.7%
Arkansas$40$1152134,134-2.0%
District of Columbia$39$1664338-2.7%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber