Prolactin (milk producing hormone) level
Medicare pricing data for 3,377 providers across 48 states
This procedure has a 5.5x markup — hospitals charge $103.55 but Medicare allows only $18.94. Uninsured patients may face bills 5.5 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
Prolactin (milk producing hormone) level (HCPCS code 84146) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.94, but hospitals typically charge $103.55 — a 5.5x 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 $18.94, your out-of-pocket cost would be approximately $3.79. 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 5.5x more than what Medicare allows for this procedure. Medicare actually pays $18.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $19 | $27 | 1 | 28 | +0.3% |
| Iowa | $19 | $74 | 53 | 266 | +0.3% |
| Nebraska | $19 | $37 | 8 | 155 | +0.3% |
| Nevada | $19 | $148 | 17 | 1,125 | +0.3% |
| New Hampshire | $19 | $78 | 18 | 38 | +0.3% |
| North Dakota | $19 | $52 | 8 | 2,117 | +0.3% |
| Florida | $19 | $117 | 150 | 17,141 | +0.2% |
| Massachusetts | $19 | $139 | 148 | 3,604 | +0.2% |
| Georgia | $19 | $147 | 73 | 2,575 | +0.2% |
| Kansas | $19 | $158 | 22 | 2,830 | +0.2% |
| Missouri | $19 | $199 | 30 | 1,058 | +0.2% |
| New Jersey | $19 | $129 | 87 | 22,281 | +0.2% |
| Pennsylvania | $19 | $111 | 22 | 2,238 | +0.2% |
| Arizona | $19 | $66 | 66 | 23,487 | +0.2% |
| New Mexico | $19 | $116 | 6 | 306 | +0.1% |
| California | $19 | $92 | 163 | 29,219 | +0.1% |
| Colorado | $19 | $129 | 43 | 972 | +0.1% |
| Texas | $19 | $112 | 307 | 15,593 | +0.1% |
| Puerto Rico | $19 | $21 | 117 | 346 | +0.1% |
| Maryland | $19 | $118 | 30 | 2,041 | 0.0% |
| South Carolina | $19 | $64 | 18 | 1,097 | 0.0% |
| North Carolina | $19 | $123 | 124 | 12,126 | -0.1% |
| Ohio | $19 | $106 | 81 | 4,504 | -0.1% |
| Rhode Island | $19 | $68 | 7 | 306 | -0.1% |
| Michigan | $19 | $47 | 44 | 888 | -0.1% |
| New York | $19 | $95 | 477 | 14,315 | -0.1% |
| Indiana | $19 | $86 | 51 | 440 | -0.3% |
| Alabama | $19 | $111 | 53 | 3,590 | -0.3% |
| Louisiana | $19 | $55 | 56 | 1,614 | -0.4% |
| Washington | $19 | $109 | 100 | 2,185 | -0.4% |
| Illinois | $19 | $135 | 134 | 2,701 | -0.4% |
| Oregon | $19 | $57 | 38 | 581 | -0.4% |
| Oklahoma | $19 | $109 | 25 | 829 | -0.5% |
| Utah | $19 | $40 | 70 | 572 | -0.5% |
| Minnesota | $19 | $111 | 166 | 1,039 | -0.7% |
| Virginia | $19 | $56 | 80 | 982 | -0.7% |
| Tennessee | $19 | $65 | 223 | 2,481 | -0.8% |
| Arkansas | $19 | $80 | 54 | 604 | -0.8% |
| Hawaii | $19 | $74 | 2 | 466 | -0.9% |
| Kentucky | $19 | $63 | 49 | 470 | -1.1% |
| Mississippi | $19 | $72 | 22 | 311 | -1.1% |
| Maine | $19 | $62 | 12 | 106 | -1.2% |
| Wisconsin | $19 | $131 | 37 | 929 | -1.3% |
| South Dakota | $19 | $110 | 12 | 161 | -1.6% |
| Connecticut | $19 | $83 | 29 | 186 | -2.0% |
| West Virginia | $19 | $108 | 10 | 55 | -2.1% |
| Idaho | $18 | $71 | 19 | 94 | -2.5% |
| Alaska | $18 | $41 | 5 | 65 | -5.0% |
⚠️ 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