Thyroid hormone evaluation
Medicare pricing data for 1,950 providers across 39 states
This procedure has a 6.7x markup — hospitals charge $42.15 but Medicare allows only $6.33. Uninsured patients may face bills 6.7 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
Thyroid hormone evaluation (HCPCS code 84479) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.33, but hospitals typically charge $42.15 — a 6.7x 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 $6.33, your out-of-pocket cost would be approximately $1.27. 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 6.7x more than what Medicare allows for this procedure. Medicare actually pays $6.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $6 | $8 | 2 | 18 | +0.2% |
| Florida | $6 | $39 | 127 | 78,475 | +0.2% |
| Hawaii | $6 | $23 | 2 | 317 | +0.2% |
| Illinois | $6 | $36 | 34 | 12,636 | +0.2% |
| Indiana | $6 | $26 | 5 | 30 | +0.2% |
| Kansas | $6 | $46 | 12 | 5,978 | +0.2% |
| Kentucky | $6 | $9 | 6 | 259 | +0.2% |
| Maine | $6 | $26 | 1 | 38 | +0.2% |
| Maryland | $6 | $46 | 49 | 4,296 | +0.2% |
| Massachusetts | $6 | $44 | 134 | 7,827 | +0.2% |
| Missouri | $6 | $41 | 34 | 2,602 | +0.2% |
| Nevada | $6 | $48 | 7 | 2,453 | +0.2% |
| New Hampshire | $6 | $36 | 2 | 17 | +0.2% |
| New Jersey | $6 | $44 | 50 | 100,624 | +0.2% |
| New York | $6 | $77 | 219 | 47,795 | +0.2% |
| Oklahoma | $6 | $26 | 18 | 3,443 | +0.2% |
| Oregon | $6 | $19 | 3 | 381 | +0.2% |
| Pennsylvania | $6 | $35 | 14 | 3,111 | +0.2% |
| Rhode Island | $6 | $37 | 8 | 128 | +0.2% |
| South Carolina | $6 | $14 | 11 | 565 | +0.2% |
| Utah | $6 | $16 | 3 | 82 | +0.2% |
| California | $6 | $32 | 75 | 62,054 | +0.2% |
| Georgia | $6 | $47 | 161 | 19,262 | 0.0% |
| Louisiana | $6 | $30 | 39 | 3,423 | 0.0% |
| North Carolina | $6 | $39 | 81 | 42,965 | 0.0% |
| Ohio | $6 | $34 | 11 | 17,752 | 0.0% |
| Tennessee | $6 | $34 | 40 | 5,381 | 0.0% |
| Texas | $6 | $40 | 169 | 67,352 | 0.0% |
| Virginia | $6 | $21 | 50 | 3,906 | 0.0% |
| Washington | $6 | $42 | 8 | 3,469 | 0.0% |
| Puerto Rico | $6 | $7 | 416 | 4,963 | 0.0% |
| Alabama | $6 | $37 | 27 | 19,217 | 0.0% |
| Arizona | $6 | $40 | 5 | 11,734 | 0.0% |
| Colorado | $6 | $42 | 14 | 1,368 | 0.0% |
| Michigan | $6 | $19 | 26 | 317 | -0.2% |
| Arkansas | $6 | $27 | 42 | 2,287 | -0.5% |
| West Virginia | $6 | $38 | 7 | 133 | -0.9% |
| Mississippi | $6 | $30 | 7 | 47 | -3.3% |
| Wisconsin | $6 | $51 | 4 | 18 | -4.7% |
⚠️ 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