84703

Gonadotropin (reproductive hormone) analysis

Medicare pricing data for 1,403 providers across 42 states

🤖AI Overview

This procedure has a 8.5x markup — hospitals charge $62.20 but Medicare allows only $7.32. Uninsured patients may face bills 8.5 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 (reproductive hormone) analysis (HCPCS code 84703) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.32, but hospitals typically charge $62.20 — a 8.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $7.32, your out-of-pocket cost would be approximately $1.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$7.32
Average Hospital Charge
$62.20
Markup Ratio
8.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$62.20
Medicare Allowed$7.32
Medicare Payment$7.32

Hospitals charge 8.5x more than what Medicare allows for this procedure. Medicare actually pays $7.32 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$7$7135584+0.7%
Hawaii$7$33334+0.7%
Indiana$7$321731+0.7%
Iowa$7$382851+0.7%
Louisiana$7$371831+0.7%
Maine$7$212435+0.7%
Massachusetts$7$5367269+0.7%
Missouri$7$481922+0.7%
Nebraska$7$392435+0.7%
Nevada$7$615168+0.7%
North Dakota$7$641323+0.7%
Oklahoma$7$711570+0.7%
Oregon$7$302766+0.7%
South Carolina$7$45713+0.7%
South Dakota$7$44814+0.7%
Utah$7$281226+0.7%
Puerto Rico$7$92748+0.7%
Arizona$7$778106+0.7%
Arkansas$7$251524+0.7%
Ohio$7$7918184+0.5%
Texas$7$6681442+0.5%
California$7$621251,045+0.5%
Connecticut$7$401027+0.5%
New Jersey$7$8036665+0.4%
Pennsylvania$7$5830209+0.3%
Minnesota$7$34122195+0.1%
North Carolina$7$9436578+0.1%
Georgia$7$59361560.0%
New York$7$46661610.0%
Washington$7$48241480.0%
Illinois$7$5251258-0.3%
Kansas$7$6721138-0.3%
Maryland$7$5845216-0.5%
Virginia$7$413065-0.7%
Wisconsin$7$8054110-1.1%
Colorado$7$891367-1.1%
Michigan$7$212487-1.2%
Alabama$7$6923218-1.5%
Mississippi$7$384390-2.7%
West Virginia$7$70516-3.6%
Tennessee$7$2754181-4.2%
Kentucky$7$254562-7.9%

⚠️ 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