Procalcitonin (hormone) level
Medicare pricing data for 447 providers across 43 states
This procedure has a 7.9x markup — hospitals charge $209.21 but Medicare allows only $26.63. Uninsured patients may face bills 7.9 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
Procalcitonin (hormone) level (HCPCS code 84145) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.63, but hospitals typically charge $209.21 — a 7.9x 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 $26.63, your out-of-pocket cost would be approximately $5.33. 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 7.9x more than what Medicare allows for this procedure. Medicare actually pays $26.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $27 | $320 | 2 | 149 | +0.2% |
| Hawaii | $27 | $76 | 3 | 119 | +0.2% |
| Idaho | $27 | $144 | 2 | 47 | +0.2% |
| Indiana | $27 | $184 | 3 | 26 | +0.2% |
| Kansas | $27 | $336 | 7 | 442 | +0.2% |
| Kentucky | $27 | $53 | 3 | 46 | +0.2% |
| Louisiana | $27 | $101 | 5 | 209 | +0.2% |
| Maryland | $27 | $292 | 6 | 74 | +0.2% |
| Massachusetts | $27 | $179 | 14 | 349 | +0.2% |
| Michigan | $27 | $92 | 8 | 61 | +0.2% |
| Mississippi | $27 | $51 | 4 | 59 | +0.2% |
| Missouri | $27 | $128 | 3 | 21 | +0.2% |
| Nevada | $27 | $99 | 4 | 762 | +0.2% |
| New Mexico | $27 | $136 | 2 | 36 | +0.2% |
| New York | $27 | $162 | 4 | 1,078 | +0.2% |
| Oklahoma | $27 | $184 | 7 | 118 | +0.2% |
| Pennsylvania | $27 | $312 | 9 | 308 | +0.2% |
| Rhode Island | $27 | $70 | 1 | 396 | +0.2% |
| South Dakota | $27 | $194 | 3 | 33 | +0.2% |
| Tennessee | $27 | $210 | 4 | 179 | +0.2% |
| Utah | $27 | $73 | 4 | 28 | +0.2% |
| Wyoming | $27 | $113 | 10 | 57 | +0.2% |
| Alabama | $27 | $327 | 4 | 364 | +0.2% |
| Arizona | $27 | $274 | 4 | 308 | +0.2% |
| Arkansas | $27 | $108 | 13 | 31 | +0.2% |
| Colorado | $27 | $230 | 5 | 65 | +0.2% |
| Connecticut | $27 | $396 | 2 | 21 | +0.2% |
| New Jersey | $27 | $284 | 11 | 1,957 | +0.2% |
| California | $27 | $185 | 41 | 3,749 | +0.1% |
| Florida | $27 | $247 | 13 | 1,570 | +0.0% |
| Illinois | $27 | $225 | 17 | 1,251 | +0.0% |
| North Carolina | $27 | $295 | 4 | 965 | -0.1% |
| Texas | $27 | $251 | 26 | 725 | -0.1% |
| Ohio | $27 | $133 | 14 | 646 | -0.1% |
| Virginia | $27 | $93 | 10 | 358 | -0.2% |
| Washington | $27 | $309 | 6 | 280 | -0.3% |
| Iowa | $27 | $171 | 6 | 134 | -0.4% |
| Nebraska | $27 | $117 | 2 | 116 | -0.5% |
| North Dakota | $26 | $144 | 9 | 111 | -0.8% |
| Wisconsin | $26 | $158 | 13 | 653 | -0.8% |
| Oregon | $26 | $247 | 3 | 70 | -0.9% |
| Minnesota | $26 | $108 | 113 | 357 | -1.4% |
| South Carolina | $26 | $285 | 8 | 33 | -2.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber