Pregnenolone (reproductive hormone) level
Medicare pricing data for 175 providers across 30 states
This procedure has a 6.6x markup — hospitals charge $133.13 but Medicare allows only $20.25. Uninsured patients may face bills 6.6 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
Pregnenolone (reproductive hormone) level (HCPCS code 84140) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.25, but hospitals typically charge $133.13 — a 6.6x 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 $20.25, your out-of-pocket cost would be approximately $4.05. 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 6.6x more than what Medicare allows for this procedure. Medicare actually pays $20.25 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $20 | $147 | 13 | 5,121 | +0.0% |
| Georgia | $20 | $150 | 2 | 1,370 | +0.0% |
| Louisiana | $20 | $55 | 2 | 283 | +0.0% |
| Maryland | $20 | $147 | 2 | 319 | +0.0% |
| Massachusetts | $20 | $143 | 3 | 714 | +0.0% |
| Michigan | $20 | $94 | 4 | 37 | +0.0% |
| Minnesota | $20 | $184 | 3 | 37 | +0.0% |
| Nevada | $20 | $143 | 1 | 316 | +0.0% |
| New Jersey | $20 | $113 | 10 | 3,658 | +0.0% |
| New York | $20 | $81 | 7 | 715 | +0.0% |
| Oklahoma | $20 | $96 | 4 | 118 | +0.0% |
| Pennsylvania | $20 | $140 | 6 | 356 | +0.0% |
| South Carolina | $20 | $31 | 3 | 51 | +0.0% |
| Texas | $20 | $125 | 12 | 2,121 | +0.0% |
| Utah | $20 | $74 | 5 | 111 | +0.0% |
| Virginia | $20 | $124 | 5 | 67 | +0.0% |
| Washington | $20 | $139 | 3 | 337 | +0.0% |
| Wisconsin | $20 | $114 | 5 | 36 | +0.0% |
| Alabama | $20 | $128 | 3 | 461 | +0.0% |
| California | $20 | $121 | 18 | 5,665 | +0.0% |
| Colorado | $20 | $140 | 4 | 480 | +0.0% |
| Illinois | $20 | $201 | 3 | 1,743 | 0.0% |
| North Carolina | $20 | $123 | 8 | 3,206 | 0.0% |
| Kansas | $20 | $145 | 3 | 676 | -0.0% |
| Ohio | $20 | $137 | 10 | 2,174 | -0.0% |
| Arizona | $20 | $145 | 3 | 2,194 | -0.0% |
| Hawaii | $20 | $107 | 2 | 103 | -0.4% |
| Tennessee | $20 | $122 | 4 | 175 | -0.4% |
| Oregon | $20 | $126 | 3 | 149 | -1.6% |
| New Mexico | $20 | $106 | 2 | 32 | -1.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber