84436

Thyroxine (thyroid chemical), total

Medicare pricing data for 3,871 providers across 48 states

🤖AI Overview

This procedure has a 6.3x markup — hospitals charge $42.21 but Medicare allows only $6.72. Uninsured patients may face bills 6.3 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

Thyroxine (thyroid chemical), total (HCPCS code 84436) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.72, but hospitals typically charge $42.21 — a 6.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.72, your out-of-pocket cost would be approximately $1.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.72
Average Hospital Charge
$42.21
Markup Ratio
6.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$42.21
Medicare Allowed$6.72
Medicare Payment$6.72

Hospitals charge 6.3x more than what Medicare allows for this procedure. Medicare actually pays $6.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$7$164141+0.1%
Florida$7$39227143,753+0.1%
Idaho$7$40567+0.1%
Illinois$7$368320,053+0.1%
Iowa$7$276161+0.1%
Kansas$7$454611,065+0.1%
Maine$7$282118+0.1%
Maryland$7$418610,272+0.1%
Massachusetts$7$4319411,418+0.1%
Nebraska$7$216151+0.1%
Nevada$7$46366,087+0.1%
New Jersey$7$44109170,707+0.1%
New Mexico$7$3071,662+0.1%
New York$7$6852886,723+0.1%
North Dakota$7$184201+0.1%
Oklahoma$7$26276,479+0.1%
Rhode Island$7$429467+0.1%
Wyoming$7$53265+0.1%
Arizona$7$422525,024+0.1%
California$7$35144104,699+0.1%
Connecticut$7$3026267+0.1%
Georgia$7$4622127,2170.0%
Louisiana$7$27815,1580.0%
Michigan$7$23421,5280.0%
Mississippi$7$37281,2810.0%
Missouri$7$41793,5580.0%
North Carolina$7$4015980,3810.0%
Ohio$7$374037,9280.0%
Oregon$7$2169810.0%
Pennsylvania$7$31309,2040.0%
South Carolina$7$19421,7600.0%
Tennessee$7$3513010,3390.0%
Texas$7$43371109,0640.0%
Virginia$7$251417,4030.0%
Washington$7$43356,7750.0%
Puerto Rico$7$84546,2900.0%
Colorado$7$44304,3810.0%
Hawaii$7$282773-0.1%
Indiana$7$24101,092-0.1%
West Virginia$7$428544-0.1%
Alabama$7$406432,002-0.1%
Kentucky$7$15562,212-0.3%
New Hampshire$7$279211-0.3%
Wisconsin$7$5012397-0.3%
Utah$7$2137506-0.4%
Arkansas$7$221244,818-0.4%
South Dakota$7$281162-0.6%
Minnesota$7$4355210-0.7%

⚠️ 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