Cost analysis for CPT 84403 — Testosterone (hormone) level, total
Average Medicare Payment
$25.10
2023 data
Total Payments (2023)
$30.0M
Services (2023)
1.2M
Price Change (2014–2023)
-25.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $33.89 | $38.2M | 1.1M | — |
| 2015 | $33.89 | $35.1M | 1.0M | 0.0% |
| 2016 | $33.93 | $35.8M | 1.1M | +0.1% |
| 2017 | $34.16 | $37.2M | 1.1M | +0.7% |
| 2018 | $30.91 | $34.5M | 1.1M | -9.5% |
| 2019 | $27.86 | $32.0M | 1.1M | -9.9% |
| 2020 | $25.45 | $26.4M | 1.0M | -8.7% |
| 2021 | $25.61 | $29.4M | 1.1M | +0.6% |
| 2022 | $25.29 | $30.5M | 1.2M | -1.2% |
| 2023 | $25.10 | $30.0M | 1.2M | -0.8% |
The most expensive state pays 1.0x more than the cheapest for this procedure. VI averages $25.29 vs VA at $24.34.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| VI | $25.29 | $11.2K | 444 | 3 |
| NH | $25.29 | $5.6K | 221 | 6 |
| MT | $25.29 | $5.1K | 201 | 3 |
| NM | $25.28 | $76.2K | 3.0K | 7 |
| ME | $25.28 | $32.6K | 1.3K | 2 |
| ND | $25.28 | $91.3K | 3.6K | 4 |
| KS | $25.27 | $646.7K | 25.6K | 37 |
| FL | $25.27 | $3.7M | 146.7K | 214 |
| PR | $25.27 | $28.3K | 1.1K | 14 |
| PA | $25.26 | $290.5K | 11.5K | 17 |
| MA | $25.26 | $605.3K | 24.0K | 39 |
| CO | $25.26 | $351.2K | 13.9K | 35 |
| RI | $25.26 | $18.7K | 741 | 5 |
| NJ | $25.25 | $2.5M | 97.4K | 111 |
| GA | $25.25 | $818.6K | 32.4K | 147 |
| AZ | $25.25 | $1.9M | 74.6K | 70 |
| IL | $25.24 | $425.8K | 16.9K | 47 |
| MD | $25.23 | $349.7K | 13.9K | 24 |
| MO | $25.23 | $103.2K | 4.1K | 51 |
| TX | $25.23 | $3.9M | 154.9K | 331 |
| NC | $25.23 | $2.6M | 101.4K | 127 |
| OH | $25.22 | $953.6K | 37.8K | 58 |
| NY | $25.22 | $1.2M | 45.9K | 231 |
| MN | $25.21 | $230.9K | 9.2K | 36 |
| UT | $25.21 | $122.2K | 4.8K | 48 |
| OK | $25.20 | $422.1K | 16.8K | 77 |
| NE | $25.20 | $156.1K | 6.2K | 44 |
| NV | $25.19 | $215.3K | 8.5K | 19 |
| IN | $25.17 | $144.9K | 5.8K | 66 |
| WA | $25.17 | $409.9K | 16.3K | 20 |
| MI | $25.16 | $178.3K | 7.1K | 57 |
| LA | $25.16 | $194.3K | 7.7K | 78 |
| IA | $25.15 | $38.7K | 1.5K | 23 |
| SC | $25.15 | $275.1K | 10.9K | 74 |
| CA | $25.14 | $4.4M | 175.4K | 217 |
| WY | $25.14 | $5.8K | 229 | 4 |
| AL | $25.11 | $936.9K | 37.3K | 134 |
| HI | $25.10 | $107.9K | 4.3K | 2 |
| TN | $25.10 | $627.2K | 25.0K | 193 |
| ID | $25.07 | $38.0K | 1.5K | 20 |
| OR | $25.07 | $211.0K | 8.4K | 61 |
| AR | $25.07 | $169.3K | 6.8K | 76 |
| KY | $25.02 | $60.6K | 2.4K | 25 |
| SD | $24.97 | $17.1K | 683 | 11 |
| CT | $24.96 | $6.5K | 261 | 4 |
| WI | $24.96 | $100.1K | 4.0K | 14 |
| MS | $24.95 | $110.0K | 4.4K | 45 |
| WV | $24.74 | $4.6K | 184 | 3 |
| VA | $24.34 | $296.0K | 12.2K | 102 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $1.8M | 70.0K | $25.24 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $1.6M | 62.1K | $25.28 |
| Unilab Corporation | Clinical Laboratory | CA | $1.1M | 43.5K | $25.27 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | NJ | $1.0M | 40.2K | $25.25 |
| Clinical Pathology Laboratories, Inc. | Clinical Laboratory | TX | $846.3K | 33.5K | $25.24 |
| Laboratory Corporation Of America | Clinical Laboratory | CA | $807.1K | 31.9K | $25.27 |
| Sonora Quest Laboratories Llc | Clinical Laboratory | AZ | $720.5K | 28.6K | $25.20 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | AL | $666.8K | 26.5K | $25.19 |
| Quest Diagnostics Incorporated | Clinical Laboratory | NJ | $665.1K | 26.3K | $25.29 |
| Laboratory Corporation Of America | Clinical Laboratory | FL | $638.1K | 25.3K | $25.27 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | GA | $609.6K | 24.1K | $25.29 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | FL | $591.8K | 23.4K | $25.28 |
| Laboratory Corporation Of America | Clinical Laboratory | AZ | $557.9K | 22.1K | $25.29 |
| Laboratory Corporation Of America | Clinical Laboratory | TX | $547.1K | 21.7K | $25.21 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | TX | $537.0K | 21.2K | $25.29 |
| Laboratory Corporation Of America Holdings | Clinical Laboratory | OH | $499.2K | 19.8K | $25.22 |
| Pathgroup Labs, Llc | Clinical Laboratory | NC | $482.3K | 19.1K | $25.20 |
| Labone Llc | Clinical Laboratory | KS | $455.5K | 18.0K | $25.29 |
| Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | TX | $445.6K | 17.6K | $25.29 |
| Unilab Corporation | Clinical Laboratory | CA | $380.9K | 15.1K | $25.29 |
Based on the data, CPT 84403 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 25.9% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.