82024

Adrenocorticotropic hormone (acth) level

Medicare pricing data for 543 providers across 41 states

🤖AI Overview

This procedure has a 5.0x markup — hospitals charge $189.38 but Medicare allows only $37.72. Uninsured patients may face bills 5.0 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

Adrenocorticotropic hormone (acth) level (HCPCS code 82024) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.72, but hospitals typically charge $189.38 — a 5.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.54

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $37.72, your out-of-pocket cost would be approximately $7.54. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$37.72
Average Hospital Charge
$189.38
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$189.38
Medicare Allowed$37.72
Medicare Payment$37.72

Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $37.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Illinois$38$16510887+0.3%
Iowa$38$914123+0.3%
Louisiana$38$167428+0.3%
New Hampshire$38$190214+0.3%
Rhode Island$38$951107+0.3%
Connecticut$38$183214+0.3%
Georgia$38$16763,355+0.3%
Maryland$38$16563,710+0.3%
Massachusetts$38$167341,825+0.3%
Nevada$38$16721,800+0.3%
New Jersey$38$225199,818+0.3%
Puerto Rico$38$4145116+0.3%
Florida$38$1604910,360+0.3%
Minnesota$38$336481,302+0.2%
New Mexico$38$1283463+0.2%
Kansas$38$17771,206+0.2%
Oklahoma$38$1847557+0.2%
Texas$38$174389,425+0.2%
Colorado$38$1945554+0.2%
Tennessee$38$1806491+0.2%
Utah$38$854483+0.2%
North Carolina$38$205168,168+0.1%
California$38$1724110,897+0.1%
Arizona$38$24194,250+0.1%
New York$38$317263,445+0.0%
Oregon$38$1274251+0.0%
Pennsylvania$38$15567070.0%
Ohio$38$163142,298-0.1%
South Carolina$38$1349585-0.1%
Alabama$38$20452,683-0.1%
Kentucky$38$1316714-0.3%
Indiana$38$1228277-0.3%
Washington$38$18181,128-0.4%
Hawaii$38$1312451-0.4%
North Dakota$38$159751-0.5%
Wisconsin$37$18612958-1.0%
Michigan$37$11729533-1.4%
Maine$37$160278-1.9%
Mississippi$36$262817-4.1%
South Dakota$36$107344-5.4%
Virginia$28$916434-24.6%

⚠️ 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