84270

Sex hormone binding globulin (protein) level

Medicare pricing data for 2,739 providers across 50 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

Sex hormone binding globulin (protein) level (HCPCS code 84270) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.19, but hospitals typically charge $94.65 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.24

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.19, your out-of-pocket cost would be approximately $4.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$21.19
Average Hospital Charge
$94.65
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$94.65
Medicare Allowed$21.19
Medicare Payment$21.19

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $21.19 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$21$49243+0.5%
Kentucky$21$7318564+0.5%
Missouri$21$25415997+0.5%
Montana$21$51164+0.5%
New Hampshire$21$62313+0.5%
North Dakota$21$5545,988+0.5%
South Dakota$21$110648+0.5%
Wyoming$21$49116+0.5%
Puerto Rico$21$253069+0.5%
Colorado$21$11624958+0.5%
Connecticut$21$941179+0.5%
Georgia$21$119615,689+0.5%
Massachusetts$21$851438,692+0.5%
New Mexico$21$8271,739+0.5%
Arizona$21$6414624,875+0.5%
Pennsylvania$21$61153,249+0.4%
Kansas$21$122162,746+0.4%
Ohio$21$125306,715+0.4%
Maryland$21$98203,333+0.3%
New Jersey$21$10721727,759+0.3%
South Carolina$21$5115845+0.3%
Nevada$21$136211,785+0.2%
Florida$21$11111831,984+0.2%
New York$21$11325817,943+0.2%
Texas$21$9329743,067+0.1%
Illinois$21$152224,359+0.0%
North Carolina$21$1039715,232+0.0%
Louisiana$21$56181,6110.0%
Alabama$21$89453,527-0.0%
Oklahoma$21$91724,897-0.1%
Washington$21$108171,868-0.1%
Nebraska$21$475827-0.2%
Utah$21$411523,072-0.2%
Idaho$21$9027383-0.3%
Hawaii$21$662489-0.3%
Indiana$21$95361,350-0.3%
Oregon$21$58644,996-0.4%
Michigan$21$45802,639-0.5%
Virginia$21$4723408-0.5%
Tennessee$21$771145,383-0.6%
West Virginia$21$94372-0.6%
Arkansas$21$91823,114-0.6%
California$21$9118157,477-0.8%
Wisconsin$21$143441,203-0.8%
Minnesota$21$1041451,155-0.9%
Maine$21$41241-1.2%
Rhode Island$21$66329-2.9%
Alaska$20$695218-3.4%
Mississippi$20$971340-6.5%
Iowa$19$63526-9.0%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber