84402

Testosterone (hormone) level, free

Medicare pricing data for 1,788 providers across 49 states

🤖AI Overview

This procedure has a 6.6x markup — hospitals charge $163.77 but Medicare allows only $24.86. Uninsured patients may face bills 6.6 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

Testosterone (hormone) level, free (HCPCS code 84402) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.86, but hospitals typically charge $163.77 — a 6.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.86, your out-of-pocket cost would be approximately $4.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.86
Average Hospital Charge
$163.77
Markup Ratio
6.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$163.77
Medicare Allowed$24.86
Medicare Payment$24.86

Hospitals charge 6.6x more than what Medicare allows for this procedure. Medicare actually pays $24.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$25$48143+0.4%
Massachusetts$25$227124,816+0.4%
Mississippi$25$7513132+0.4%
Missouri$25$1532453+0.4%
Nebraska$25$95323+0.4%
New Hampshire$25$1182357+0.4%
North Dakota$25$101520+0.4%
Pennsylvania$25$95205,753+0.4%
Rhode Island$25$483258+0.4%
Wyoming$25$41354+0.4%
Georgia$25$1829311,240+0.4%
Illinois$25$184295,032+0.4%
Florida$25$1946454,020+0.3%
Kansas$25$169259,380+0.3%
New Jersey$25$1793741,413+0.3%
Colorado$25$186136,257+0.3%
Indiana$25$9514658+0.3%
Nevada$25$24443,563+0.3%
New York$25$1464311,562+0.3%
Maryland$25$15683,453+0.2%
Utah$25$61142,286+0.2%
Idaho$25$5113321+0.2%
Texas$25$16636134,925+0.2%
Minnesota$25$184242,948+0.2%
Arizona$25$1411727,760+0.2%
North Carolina$25$1727944,728+0.1%
Oklahoma$25$138503,033+0.1%
Puerto Rico$25$28160816+0.1%
Maine$25$743202+0.0%
Washington$25$144216,067+0.0%
Louisiana$25$95121,3900.0%
Ohio$25$1556712,4810.0%
South Carolina$25$59191,821-0.1%
Alabama$25$1623511,854-0.1%
California$25$15413654,326-0.3%
Hawaii$25$10122,052-0.4%
Wisconsin$25$13026854-0.5%
Oregon$25$66552,009-0.6%
Iowa$25$6813276-0.7%
Arkansas$25$11163493-0.7%
Connecticut$25$577148-0.8%
Kentucky$25$7516472-0.9%
Michigan$25$74561,429-0.9%
New Mexico$25$76839-1.3%
Tennessee$25$120561,723-1.3%
South Dakota$24$1085154-1.5%
Alaska$24$765245-2.5%
West Virginia$24$172521-3.4%
Virginia$19$46161,771-25.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber