70491

Ct scan of soft tissue of neck with contrast

Medicare pricing data for 25,880 providers across 52 states

🤖AI Overview

This procedure has a 5.4x markup — hospitals charge $455.53 but Medicare allows only $84.50. Uninsured patients may face bills 5.4 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

Ct scan of soft tissue of neck with contrast (HCPCS code 70491) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $84.50, but hospitals typically charge $455.53 — a 5.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $84.50, your out-of-pocket cost would be approximately $16.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$84.50
Average Hospital Charge
$455.53
Markup Ratio
5.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$455.53
Medicare Allowed$84.50
Medicare Payment$63.89

Hospitals charge 5.4x more than what Medicare allows for this procedure. Medicare actually pays $63.89 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$115$4995366,095+35.8%
New Jersey$111$5335785,656+31.0%
Alaska$106$83781798+25.9%
Puerto Rico$102$25344115+21.1%
Florida$102$5741,82120,931+20.3%
Nevada$101$5622421,578+19.2%
Arizona$100$5884635,518+18.6%
New York$98$5101,23815,514+16.1%
California$94$5102,28121,171+11.7%
District of Columbia$92$347681,017+8.5%
New Mexico$91$4841241,114+7.2%
Connecticut$87$4183663,129+3.4%
Washington$87$3726015,984+3.3%
Minnesota$87$4869269,579+3.0%
Rhode Island$86$365127908+1.9%
Wyoming$86$59157488+1.6%
Tennessee$86$4617398,273+1.4%
Colorado$85$4344524,636+0.0%
Hawaii$84$33491605-0.3%
Arkansas$84$3943204,711-0.6%
Texas$83$5281,92126,290-2.0%
South Carolina$82$5034795,550-3.3%
Virginia$81$4756688,305-3.8%
Alabama$81$3044403,547-4.5%
North Carolina$80$4368749,918-5.5%
Georgia$79$4557177,293-6.6%
Massachusetts$79$35471210,663-6.6%
Illinois$78$4681,10811,785-7.9%
Utah$78$2792112,253-7.9%
Pennsylvania$78$3861,15112,097-7.9%
Oregon$77$3403453,217-8.4%
Wisconsin$76$7246475,441-10.5%
Iowa$75$4282613,318-11.0%
Kansas$75$2872973,342-11.3%
Montana$75$329951,033-11.5%
Maine$74$2971031,094-12.2%
North Dakota$74$34983924-12.9%
New Hampshire$74$6221591,735-12.9%
South Dakota$73$2991111,000-13.3%
Delaware$73$294711,437-13.9%
Kentucky$72$3013083,058-15.4%
Indiana$71$3544625,128-15.5%
Idaho$71$3751361,283-16.3%
Nebraska$71$3121972,589-16.4%
Missouri$70$3725837,690-17.0%
Michigan$70$2916488,208-17.1%
Ohio$70$4048448,729-17.3%
Louisiana$69$3563892,829-17.9%
Mississippi$69$4782172,573-18.2%
Oklahoma$69$3172803,135-18.5%
West Virginia$67$3151491,431-21.1%
Vermont$66$33235458-22.4%

⚠️ 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