70543

Mri scan of bone of eye socket, face, and/or neck before and after contrast

Medicare pricing data for 12,581 providers across 52 states

🤖AI Overview

This procedure has a 6.6x markup — hospitals charge $1,225 but Medicare allows only $186.01. Uninsured patients may face bills 6.6 times higher than what insurance negotiates. Prices vary significantly by location — from $111 in Vermont to $355 in Puerto Rico. Where you get this procedure matters more than almost any other factor. 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

Mri scan of bone of eye socket, face, and/or neck before and after contrast (HCPCS code 70543) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $186.01, but hospitals typically charge $1,225 — a 6.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$37.20

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $186.01, your out-of-pocket cost would be approximately $37.20. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$186.01
Average Hospital Charge
$1,225
Markup Ratio
6.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,224.67
Medicare Allowed$186.01
Medicare Payment$144.38

Hospitals charge 6.6x more than what Medicare allows for this procedure. Medicare actually pays $144.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$355$4591428+90.7%
New Jersey$264$1,5843362,138+42.2%
Maryland$258$1,3902732,339+38.5%
Nevada$252$1,522118568+35.5%
New York$231$1,6377617,221+24.0%
District of Columbia$227$1,19343401+22.0%
California$223$1,4271,3309,308+19.8%
Florida$216$1,5938485,207+15.9%
Minnesota$205$1,8094482,027+10.4%
Arizona$205$1,3632381,848+10.3%
Wyoming$204$1,2373086+9.9%
Alaska$199$1,93637226+6.9%
New Mexico$194$1,60659268+4.5%
Rhode Island$187$1,04945198+0.7%
Connecticut$180$1,178182905-3.5%
Texas$175$1,2548825,832-5.9%
Washington$175$9322871,442-6.0%
Hawaii$173$69738179-6.9%
Virginia$173$1,3472781,707-7.0%
Maine$171$93658303-8.1%
Alabama$168$931213761-9.5%
Georgia$168$1,0893361,621-9.9%
Colorado$167$9212311,385-10.1%
South Carolina$166$1,328179886-10.6%
Massachusetts$165$1,0124103,258-11.3%
Kentucky$163$969137495-12.3%
Tennessee$162$1,0092881,219-13.1%
Oregon$154$810136672-17.0%
Pennsylvania$154$8756003,866-17.4%
Kansas$150$755116458-19.2%
Louisiana$150$875197577-19.5%
Delaware$149$73248394-19.8%
Indiana$148$944199837-20.2%
North Carolina$145$9574111,846-22.3%
Oklahoma$142$827110381-23.7%
Illinois$141$9675322,946-24.3%
West Virginia$138$1,02381233-25.6%
Montana$138$80944229-25.7%
Iowa$135$752123468-27.3%
North Dakota$135$68238238-27.5%
South Dakota$135$68544155-27.5%
Mississippi$134$1,060104349-28.0%
New Hampshire$133$1,29893360-28.6%
Arkansas$132$571122584-29.1%
Michigan$131$6883191,576-29.8%
Nebraska$130$66493431-30.0%
Wisconsin$130$1,4652631,080-30.0%
Utah$127$701116464-31.9%
Ohio$125$7523551,686-32.8%
Missouri$123$6592431,074-33.6%
Idaho$120$70356194-35.3%
Vermont$111$53324169-40.5%

⚠️ 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