84305

Somatomedin (growth factor) level

Medicare pricing data for 407 providers across 38 states

🤖AI Overview

This procedure has a 8.4x markup — hospitals charge $174.68 but Medicare allows only $20.79. Uninsured patients may face bills 8.4 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

Somatomedin (growth factor) level (HCPCS code 84305) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.79, but hospitals typically charge $174.68 — a 8.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.16

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.79, your out-of-pocket cost would be approximately $4.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$20.79
Average Hospital Charge
$174.68
Markup Ratio
8.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$174.68
Medicare Allowed$20.79
Medicare Payment$20.79

Hospitals charge 8.4x more than what Medicare allows for this procedure. Medicare actually pays $20.79 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$21$188416,425+0.2%
Georgia$21$2062998+0.2%
Idaho$21$96690+0.2%
Illinois$21$199301,038+0.2%
Iowa$21$52514+0.2%
Kansas$21$2096942+0.2%
Louisiana$21$147567+0.2%
Maine$21$109222+0.2%
Minnesota$21$19929451+0.2%
Nevada$21$2052485+0.2%
New Jersey$21$200197,499+0.2%
North Dakota$21$5314,804+0.2%
Ohio$21$183132,228+0.2%
Oregon$21$179462+0.2%
Rhode Island$21$60127+0.2%
Tennessee$21$1403191+0.2%
Utah$21$544242+0.2%
Puerto Rico$21$2232124+0.2%
Massachusetts$21$16871,173+0.1%
North Carolina$21$24394,983+0.1%
Colorado$21$2656371+0.1%
Pennsylvania$21$1427690+0.0%
Alabama$21$22541,135+0.0%
Arizona$21$23792,213+0.0%
Maryland$21$19053690.0%
South Carolina$21$435291-0.0%
California$21$195356,401-0.1%
Texas$21$143285,691-0.1%
Kentucky$21$704231-0.2%
Virginia$21$585148-0.3%
Oklahoma$21$1417285-0.4%
Washington$21$2347798-0.6%
Indiana$21$566226-0.6%
New York$21$115222,658-0.7%
Hawaii$21$1252190-0.9%
New Mexico$20$114341-2.4%
Wisconsin$20$1578261-3.4%
Michigan$18$92635-12.3%

⚠️ 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