Chemical receptor analysis
Medicare pricing data for 210 providers across 31 states
This procedure has a 5.1x markup — hospitals charge $181.57 but Medicare allows only $35.29. Uninsured patients may face bills 5.1 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
Chemical receptor analysis (HCPCS code 84238) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $35.29, but hospitals typically charge $181.57 — a 5.1x 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 $35.29, your out-of-pocket cost would be approximately $7.06. 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 5.1x more than what Medicare allows for this procedure. Medicare actually pays $35.29 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $36 | $260 | 1 | 603 | +1.6% |
| Hawaii | $36 | $190 | 1 | 26 | +1.6% |
| Indiana | $36 | $199 | 3 | 16 | +1.6% |
| Iowa | $36 | $61 | 2 | 19 | +1.6% |
| Maryland | $36 | $257 | 2 | 314 | +1.6% |
| Massachusetts | $36 | $262 | 2 | 282 | +1.6% |
| New York | $36 | $205 | 5 | 1,117 | +1.6% |
| Ohio | $36 | $187 | 9 | 278 | +1.6% |
| Oregon | $36 | $83 | 2 | 21 | +1.6% |
| Rhode Island | $36 | $75 | 1 | 19 | +1.6% |
| Utah | $36 | $74 | 2 | 222 | +1.6% |
| Washington | $36 | $144 | 2 | 13 | +1.6% |
| Alabama | $36 | $135 | 4 | 229 | +1.6% |
| Colorado | $36 | $251 | 4 | 203 | +1.6% |
| Illinois | $36 | $141 | 5 | 1,273 | +1.5% |
| Tennessee | $36 | $95 | 3 | 1,962 | +1.5% |
| Nebraska | $36 | $121 | 5 | 471 | +1.5% |
| Kansas | $36 | $268 | 4 | 788 | +1.4% |
| New Jersey | $36 | $187 | 5 | 3,103 | +1.4% |
| Florida | $36 | $200 | 14 | 1,809 | +1.4% |
| Nevada | $36 | $261 | 2 | 494 | +1.4% |
| North Carolina | $36 | $184 | 6 | 2,545 | +1.3% |
| Minnesota | $36 | $229 | 52 | 962 | +1.2% |
| Texas | $36 | $213 | 12 | 1,290 | +1.0% |
| Michigan | $36 | $102 | 5 | 681 | +1.0% |
| Arizona | $36 | $243 | 3 | 147 | +1.0% |
| Wisconsin | $36 | $308 | 7 | 331 | +0.7% |
| Pennsylvania | $35 | $157 | 6 | 1,091 | +0.6% |
| Virginia | $34 | $148 | 5 | 105 | -3.5% |
| Arkansas | $31 | $92 | 1 | 16 | -11.9% |
| California | $30 | $152 | 16 | 1,868 | -14.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber