How much does Medicare pay for CPT 82627?

Medicare allowed an average of $21.75 per service and paid $21.75 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $147.50, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82627?

Dehydroepiandrosterone (dhea-s) hormone level. It was billed 198,399 times to 154,921 Medicare beneficiaries by 477 providers in 2024.

Which specialty bills 82627 most?

Clinical Laboratory, with 176,186 services from 243 clinicians. Next are Family Practice, Internal Medicine, Nurse Practitioner.

CPT 82627

Dehydroepiandrosterone (dhea-s) hormone level

$21.75Medicare-allowed amount per service, averaged across 198,399 services

Providers submitted

$147.50

Asking price, not received

Medicare allowed

$21.75

The fee schedule figure

Medicare paid

$21.75

Balance is patient coinsurance

Providers submitted an average of $147.50 for this code and Medicare allowed $21.75 — 6.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $21.75 (100%); the rest is the patient’s coinsurance and deductible.

Services: 198,399
Beneficiaries: 154,921
Providers billing it: 477
Total allowed: $4,315,178

What Medicare pays for CPT 82627

Across 198,399 services billed by 477 providers to 154,921 beneficiaries, Medicare allowed an average of $21.75 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 82627

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	176,186	139,809	$21.76	243
Family Practice	3,539	2,573	$21.70	27
Internal Medicine	3,462	2,782	$21.76	29
Nurse Practitioner	3,142	2,421	$21.47	75
Rheumatology	2,356	607	$21.75	2
Endocrinology	1,902	1,477	$21.71	35
Urology	1,854	1,235	$21.56	10
General Practice	1,377	606	$21.77	5
Cardiology	1,203	711	$21.75	2
Obstetrics & Gynecology	878	561	$21.64	6
Physician Assistant	850	617	$21.43	20
Pain Management	440	438	$21.75	5
Pathology	410	368	$21.65	8
Interventional Pain Management	308	308	$21.69	2
Infectious Disease	108	78	$21.79	1

82627 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	32,720	$21.76	$21.79	63
Florida	22,147	$21.77	$21.79	44
New Jersey	20,544	$21.77	$21.79	20
Texas	18,815	$21.77	$21.79	40
North Carolina	15,653	$21.75	$21.79	25
Arizona	10,325	$21.74	$21.79	11
Massachusetts	9,394	$21.77	$21.79	7
New York	8,981	$21.78	$21.79	35
Ohio	8,024	$21.78	$21.79	10
Tennessee	5,441	$21.66	$21.79	32
North Dakota	5,334	$21.79	$21.79	2
Illinois	4,987	$21.76	$21.79	9
Kansas	4,531	$21.78	$21.79	6
Alabama	3,923	$21.76	$21.79	7
Georgia	3,859	$21.78	$21.79	2
Pennsylvania	3,235	$21.79	$21.79	7
Oregon	3,135	$21.61	$21.79	43
Maryland	2,994	$21.77	$21.79	12
Oklahoma	2,185	$21.71	$21.79	19
Washington	1,724	$21.73	$21.79	6
Colorado	1,227	$21.77	$21.79	3
Nevada	1,184	$21.76	$21.79	2
Louisiana	1,142	$21.74	$21.79	7
Minnesota	963	$21.72	$21.79	8
Hawaii	868	$21.69	$21.79	2
Michigan	690	$21.73	$21.79	5
South Carolina	682	$21.42	$21.79	5
Indiana	548	$21.79	$21.79	7
Wisconsin	471	$21.31	$21.79	5
Virginia	417	$19.64	$21.79	4
Missouri	410	$21.75	$21.79	2
New Mexico	370	$21.45	$21.79	1
Utah	304	$21.68	$21.79	6
Idaho	273	$21.76	$21.79	3
Puerto Rico	267	$21.22	$21.79	3
Nebraska	124	$21.47	$21.79	1
Mississippi	102	$21.53	$21.79	3
Rhode Island	97	$21.79	$21.79	2
Kentucky	91	$21.79	$21.79	2
South Dakota	86	$21.79	$21.79	2
Iowa	76	$21.79	$21.79	2
Maine	45	$21.79	$21.79	1
Arkansas	11	$19.81	$21.79	1

Related codes

82607Cyanocobalamin (vitamin b-12) level$14.76
82670Measurement of total estradiol (hormone)$27.32
82652Dihydroxyvitamin d$37.66
82626Dehydroepiandrosterone (dhea) hormone level$24.75
82610Cystatin c (enzyme inhibitor) level$18.12
82668Erythropoietin (protein) level$18.38
82677Estriol (hormone) level$23.69
82653Measurement of pancreatic elastase (enzyme) in stool$22.48
82672Estrogen analysis$21.25
82679Estrone (hormone) level$24.43
82656Detection of pancreatic elastase (enzyme) in stool$11.29
82642Measurement of dihydrotestosterone$28.61

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.