Serotonin (hormone) level
Medicare pricing data for 160 providers across 29 states
This procedure has a 8.8x markup — hospitals charge $265.60 but Medicare allows only $30.19. Uninsured patients may face bills 8.8 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
Serotonin (hormone) level (HCPCS code 84260) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $30.19, but hospitals typically charge $265.60 — a 8.8x 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 $30.19, your out-of-pocket cost would be approximately $6.04. 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 8.8x more than what Medicare allows for this procedure. Medicare actually pays $30.19 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $30 | $384 | 6 | 533 | +0.6% |
| Georgia | $30 | $409 | 1 | 477 | +0.6% |
| Illinois | $30 | $165 | 6 | 558 | +0.6% |
| Iowa | $30 | $81 | 2 | 31 | +0.6% |
| Kansas | $30 | $363 | 4 | 200 | +0.6% |
| Maryland | $30 | $377 | 3 | 346 | +0.6% |
| Massachusetts | $30 | $342 | 3 | 93 | +0.6% |
| Minnesota | $30 | $228 | 4 | 47 | +0.6% |
| New Mexico | $30 | $116 | 3 | 100 | +0.6% |
| New York | $30 | $191 | 8 | 467 | +0.6% |
| Ohio | $30 | $186 | 10 | 208 | +0.6% |
| Oregon | $30 | $47 | 3 | 108 | +0.6% |
| Pennsylvania | $30 | $323 | 6 | 210 | +0.6% |
| Tennessee | $30 | $179 | 4 | 113 | +0.6% |
| Texas | $30 | $277 | 13 | 1,316 | +0.6% |
| Washington | $30 | $309 | 5 | 64 | +0.6% |
| Wisconsin | $30 | $186 | 3 | 29 | +0.6% |
| Alabama | $30 | $256 | 2 | 60 | +0.6% |
| Colorado | $30 | $343 | 3 | 71 | +0.6% |
| North Carolina | $30 | $253 | 8 | 2,728 | +0.5% |
| New Jersey | $30 | $252 | 8 | 2,373 | +0.5% |
| Arizona | $30 | $281 | 3 | 432 | +0.4% |
| Nevada | $30 | $391 | 3 | 122 | -0.3% |
| Virginia | $30 | $81 | 4 | 33 | -0.6% |
| Utah | $30 | $64 | 2 | 68 | -0.8% |
| Hawaii | $30 | $159 | 2 | 109 | -1.0% |
| Oklahoma | $30 | $299 | 5 | 103 | -1.1% |
| Michigan | $29 | $90 | 4 | 14 | -2.7% |
| California | $29 | $283 | 12 | 1,186 | -4.5% |
⚠️ 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