84702

Gonadotropin, chorionic (reproductive hormone) level

Medicare pricing data for 691 providers across 40 states

🤖AI Overview

This procedure has a 6.9x markup — hospitals charge $101.52 but Medicare allows only $14.71. Uninsured patients may face bills 6.9 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

Gonadotropin, chorionic (reproductive hormone) level (HCPCS code 84702) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.71, but hospitals typically charge $101.52 — a 6.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.71, your out-of-pocket cost would be approximately $2.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$14.71
Average Hospital Charge
$101.52
Markup Ratio
6.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$101.52
Medicare Allowed$14.71
Medicare Payment$14.71

Hospitals charge 6.9x more than what Medicare allows for this procedure. Medicare actually pays $14.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$15$14310119+0.3%
Hawaii$15$65222+0.3%
Illinois$15$11120174+0.3%
Indiana$15$36929+0.3%
Iowa$15$551234+0.3%
Kansas$15$13112160+0.3%
Kentucky$15$60913+0.3%
Maine$15$49326+0.3%
Maryland$15$92683+0.3%
Massachusetts$15$11249178+0.3%
Michigan$15$401456+0.3%
Mississippi$15$61516+0.3%
Missouri$15$125862+0.3%
Nebraska$15$43224+0.3%
New Mexico$15$83324+0.3%
North Carolina$15$10313520+0.3%
Oklahoma$15$94547+0.3%
South Dakota$15$82713+0.3%
Tennessee$15$502474+0.3%
Utah$15$391142+0.3%
Wisconsin$15$12518114+0.3%
Puerto Rico$15$171122+0.3%
Arizona$15$1105148+0.3%
Arkansas$15$34922+0.3%
Colorado$15$112358+0.3%
Connecticut$15$74723+0.3%
Louisiana$15$811115+0.2%
Florida$15$11219610+0.1%
New Jersey$15$98171,229+0.1%
New York$15$106857070.0%
California$15$114629210.0%
Minnesota$15$10175245-0.3%
Texas$15$9840509-0.3%
Alabama$15$1068132-0.3%
Ohio$15$9511267-0.4%
Pennsylvania$15$9410188-0.5%
Washington$15$8318174-0.8%
Virginia$15$672370-0.9%
Nevada$15$1271159-1.2%
Oregon$14$51738-2.0%

⚠️ 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