84410

Testosterone level

Medicare pricing data for 93 providers across 19 states

🤖AI Overview

This procedure has a 6.6x markup — hospitals charge $329.04 but Medicare allows only $49.51. Uninsured patients may face bills 6.6 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 level (HCPCS code 84410) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $49.51, but hospitals typically charge $329.04 — a 6.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $49.51, your out-of-pocket cost would be approximately $9.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$49.51
Average Hospital Charge
$329.04
Markup Ratio
6.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$329.04
Medicare Allowed$49.51
Medicare Payment$49.51

Hospitals charge 6.6x more than what Medicare allows for this procedure. Medicare actually pays $49.51 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Oklahoma$50$82922+1.5%
Washington$50$392263+1.5%
Wisconsin$50$200619+1.5%
Alabama$50$3691252+1.5%
Arizona$50$3362242+1.5%
California$50$3053700+1.5%
Colorado$50$3842102+1.5%
North Carolina$50$35231,960+1.4%
Ohio$50$3403346+1.3%
Texas$50$4203736+1.3%
New Jersey$50$3073989+1.3%
New York$50$20610969+1.2%
Florida$50$42461,635+1.0%
Michigan$50$230325+0.9%
Tennessee$50$12517202+0.1%
South Dakota$50$176135+0.1%
Kansas$49$377337-0.6%
Georgia$48$75122-2.2%
Minnesota$41$2095561-17.5%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber