73201

Ct scan of arm with contrast

Medicare pricing data for 9,403 providers across 52 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $389.59 but Medicare allows only $76.70. Uninsured patients may face bills 5.1 times higher than what insurance negotiates. Prices vary significantly by location — from $52 in Idaho to $124 in Alaska. 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

Ct scan of arm with contrast (HCPCS code 73201) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.70, but hospitals typically charge $389.59 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $76.70, your out-of-pocket cost would be approximately $15.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$76.70
Average Hospital Charge
$389.59
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$389.59
Medicare Allowed$76.70
Medicare Payment$58.87

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $58.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$124$7143563+62.2%
Nevada$106$57079153+37.7%
New Jersey$100$498211429+30.2%
Arizona$92$517171456+20.5%
Florida$92$4845641,456+19.8%
Maryland$91$358224479+18.2%
Texas$88$5547031,754+15.0%
Rhode Island$88$3664165+14.2%
California$87$4248721,825+13.6%
New York$86$3854901,103+12.3%
Washington$86$337246669+12.0%
Hawaii$86$3413764+11.8%
District of Columbia$84$3592460+9.4%
Puerto Rico$81$347312+5.9%
Connecticut$81$384115234+5.6%
Georgia$78$457266535+1.9%
Colorado$78$377191511+1.5%
Kansas$78$28978160+1.4%
Tennessee$75$382268636-2.2%
Alabama$74$362171337-3.6%
Minnesota$74$390351702-3.6%
Kentucky$74$344120264-3.7%
North Carolina$73$400288791-4.4%
Iowa$73$355101252-4.5%
South Carolina$73$380160486-5.3%
Illinois$72$386385793-6.1%
Mississippi$72$38790219-6.6%
Missouri$71$338240695-6.9%
Virginia$69$340274750-9.5%
Utah$69$25770147-9.5%
Oregon$68$280130298-11.1%
Louisiana$67$379140281-13.0%
Oklahoma$66$410132370-13.8%
New Hampshire$65$53267143-15.9%
Indiana$64$292200492-16.8%
Nebraska$63$27474175-18.0%
Massachusetts$63$247256610-18.3%
New Mexico$61$33963136-20.3%
Arkansas$60$24293228-21.2%
Ohio$60$335253547-21.3%
Michigan$59$258241562-23.4%
Pennsylvania$58$262399892-24.4%
Wisconsin$57$505154312-25.7%
Montana$55$2203284-28.3%
Delaware$55$2462051-28.5%
Maine$54$2083657-29.5%
Wyoming$54$3491652-29.6%
North Dakota$54$2101420-29.8%
South Dakota$54$1332673-30.1%
Vermont$53$3631643-30.5%
West Virginia$53$23268136-31.2%
Idaho$52$32748129-31.9%

⚠️ 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