84144

Progesterone (reproductive hormone) level

Medicare pricing data for 1,788 providers across 45 states

🤖AI Overview

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

Progesterone (reproductive hormone) level (HCPCS code 84144) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.41, but hospitals typically charge $97.61 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.08

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.41, your out-of-pocket cost would be approximately $4.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$20.41
Average Hospital Charge
$97.61
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$97.61
Medicare Allowed$20.41
Medicare Payment$20.41

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $20.41 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$20$48135+0.1%
Iowa$20$721380+0.1%
Kentucky$20$5324141+0.1%
Maine$20$59220+0.1%
Massachusetts$20$57125,512+0.1%
Mississippi$20$7618126+0.1%
Missouri$20$206161,253+0.1%
Nebraska$20$377283+0.1%
North Dakota$20$5342,364+0.1%
Rhode Island$20$58222+0.1%
South Dakota$20$1063108+0.1%
Connecticut$20$92527+0.1%
Florida$20$12110123,144+0.1%
Illinois$20$123393,010+0.1%
Kansas$20$125193,992+0.1%
New Jersey$20$1134011,838+0.1%
Pennsylvania$20$52142,671+0.1%
Georgia$20$120113,224+0.0%
Nevada$20$141211,059+0.0%
Ohio$20$122265,636+0.0%
Texas$20$10717922,361+0.0%
Arizona$20$748427,267+0.0%
California$20$8512728,910+0.0%
Puerto Rico$20$22692970.0%
New Mexico$20$1084576-0.0%
Washington$20$116162,338-0.0%
Maryland$20$11515664-0.1%
New York$20$1001547,467-0.1%
Colorado$20$131281,627-0.1%
Oklahoma$20$100381,512-0.2%
Virginia$20$7516264-0.2%
Alabama$20$105334,078-0.2%
Hawaii$20$692701-0.3%
North Carolina$20$1147715,211-0.3%
South Carolina$20$53221,325-0.3%
Idaho$20$7117243-0.3%
Louisiana$20$51301,438-0.4%
Wisconsin$20$13816187-0.5%
Oregon$20$48662,939-0.7%
Michigan$20$5121637-0.8%
Tennessee$20$852082,398-0.9%
Utah$20$4474460-0.9%
Arkansas$20$511969-0.9%
Minnesota$20$7345368-1.0%
Indiana$20$5135649-1.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber