82670

Measurement of total estradiol (hormone)

Medicare pricing data for 4,122 providers across 50 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $150.08 but Medicare allows only $27.31. Uninsured patients may face bills 5.5 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

Measurement of total estradiol (hormone) (HCPCS code 82670) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.31, but hospitals typically charge $150.08 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $27.31, your out-of-pocket cost would be approximately $5.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$27.31
Average Hospital Charge
$150.08
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$150.08
Medicare Allowed$27.31
Medicare Payment$27.31

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $27.31 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$27$62144+0.3%
Maine$27$91888+0.3%
Montana$27$67123+0.3%
New Hampshire$27$140618+0.3%
West Virginia$27$118519+0.3%
Wyoming$27$154433+0.3%
Massachusetts$27$1015110,209+0.2%
New Mexico$27$14061,262+0.2%
North Dakota$27$7273,006+0.2%
Florida$27$19328850,216+0.2%
Kansas$27$208578,288+0.2%
Nevada$27$222292,423+0.2%
Maryland$27$148223,257+0.1%
Pennsylvania$27$111203,610+0.1%
Puerto Rico$27$30169978+0.1%
California$27$13621555,975+0.1%
Missouri$27$222801,822+0.1%
New Jersey$27$16411325,582+0.1%
Washington$27$167954,575+0.1%
Arizona$27$12712532,074+0.1%
Ohio$27$1737613,742+0.0%
Texas$27$16149563,121+0.0%
Colorado$27$168434,363+0.0%
New York$27$11937414,333-0.0%
Oklahoma$27$97655,466-0.0%
Hawaii$27$952970-0.1%
North Carolina$27$15115233,540-0.1%
Utah$27$6463575-0.1%
Illinois$27$193936,053-0.2%
Georgia$27$210498,049-0.3%
Virginia$27$9645627-0.3%
South Dakota$27$1519166-0.3%
Michigan$27$63681,511-0.4%
Idaho$27$8433569-0.4%
Nebraska$27$71341,170-0.4%
Alabama$27$13511213,993-0.4%
South Carolina$27$73502,603-0.5%
Louisiana$27$83772,506-0.5%
Wisconsin$27$11822810-0.6%
Minnesota$27$1451741,361-0.7%
Oregon$27$631024,032-0.8%
Tennessee$27$1103846,719-0.8%
Arkansas$27$118852,675-1.0%
Kentucky$27$7636466-1.1%
Connecticut$27$10612113-1.3%
Indiana$27$92651,366-1.4%
Rhode Island$27$120358-1.5%
Mississippi$27$9946284-1.8%
Iowa$27$10234286-1.9%
Alaska$26$11714247-3.0%

⚠️ 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