70496

Ct scan of blood vessels of head with contrast

Medicare pricing data for 23,666 providers across 52 states

🤖AI Overview

This procedure has a 5.3x markup — hospitals charge $469.98 but Medicare allows only $88.88. Uninsured patients may face bills 5.3 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

Ct scan of blood vessels of head with contrast (HCPCS code 70496) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $88.88, but hospitals typically charge $469.98 — a 5.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.78

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $88.88, your out-of-pocket cost would be approximately $17.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$88.88
Average Hospital Charge
$469.98
Markup Ratio
5.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$469.98
Medicare Allowed$88.88
Medicare Payment$68.42

Hospitals charge 5.3x more than what Medicare allows for this procedure. Medicare actually pays $68.42 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$118$668912,296+33.3%
Maryland$99$43851514,524+11.7%
Puerto Rico$99$39342264+11.6%
New York$99$4501,19337,553+11.3%
District of Columbia$97$350622,786+9.2%
New Jersey$97$55056316,797+8.8%
Arizona$96$68642213,307+8.1%
California$96$5082,20663,427+8.0%
Florida$95$5841,64342,514+6.6%
Nevada$94$6332405,393+6.2%
Wyoming$92$435551,050+3.5%
Connecticut$91$48131710,196+2.2%
Colorado$90$46245618,797+1.5%
Washington$90$34648720,721+1.3%
Massachusetts$89$35867024,877+0.2%
Texas$89$6381,60850,709-0.1%
Virginia$88$40759820,218-1.2%
Rhode Island$87$3731194,793-1.8%
Illinois$87$50499529,199-2.2%
Hawaii$87$363842,022-2.4%
Minnesota$87$46485131,705-2.5%
Tennessee$87$51371819,641-2.6%
Oregon$87$3943318,766-2.7%
North Carolina$86$48277724,816-2.9%
Maine$86$352982,623-3.3%
Delaware$86$363692,604-3.6%
North Dakota$85$375862,072-4.1%
New Hampshire$85$6571534,584-4.1%
South Carolina$85$46536012,445-4.2%
Montana$85$347872,475-4.3%
New Mexico$85$4081433,202-4.4%
Pennsylvania$85$3901,06531,714-4.4%
Georgia$85$44062719,240-4.5%
Michigan$84$34062223,368-5.2%
Iowa$84$3642545,256-5.3%
Wisconsin$84$74460014,301-5.3%
Kansas$84$3092116,310-5.6%
Utah$84$3072246,635-5.9%
South Dakota$83$261642,275-6.5%
Louisiana$83$4543627,369-6.8%
Ohio$83$48473422,580-6.9%
Alabama$83$3104219,150-6.9%
Mississippi$82$4482326,871-7.2%
Missouri$82$39349716,793-7.2%
Indiana$82$37643013,580-7.4%
Arkansas$82$3632447,833-7.8%
Oklahoma$82$4312508,065-7.9%
Vermont$82$429351,471-8.1%
Kentucky$81$3242868,323-8.5%
Idaho$81$4371404,441-8.7%
Nebraska$81$3301625,794-8.8%
West Virginia$81$3641413,961-9.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber