74174

Ct scan of blood vessels of abdomen and pelvis with contrast

Medicare pricing data for 27,996 providers across 52 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $699.65 but Medicare allows only $127.28. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. Prices vary significantly by location — from $102 in Vermont to $216 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 blood vessels of abdomen and pelvis with contrast (HCPCS code 74174) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $127.28, but hospitals typically charge $699.65 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$25.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $127.28, your out-of-pocket cost would be approximately $25.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$127.28
Average Hospital Charge
$699.65
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$699.65
Medicare Allowed$127.28
Medicare Payment$98.30

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $98.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$216$1,936100953+70.0%
Maryland$165$61559111,726+30.0%
New York$152$7151,64123,154+19.3%
Arizona$149$1,1745037,743+16.7%
Florida$148$9431,85825,869+16.1%
Minnesota$144$9561,09917,740+13.5%
California$141$6982,53332,213+10.9%
New Jersey$138$66475110,187+8.4%
District of Columbia$137$5401002,154+7.4%
Connecticut$129$6224084,562+1.5%
Nevada$129$9572272,713+1.3%
Louisiana$128$6903733,796+0.5%
Texas$126$8561,87024,855-1.1%
Colorado$126$7915587,287-1.4%
North Carolina$125$73799313,979-1.5%
Illinois$124$7651,19817,800-2.2%
Wyoming$124$78449466-2.3%
Wisconsin$124$1,3287076,785-2.4%
Virginia$124$62375612,890-2.5%
Iowa$124$6033053,068-2.8%
Massachusetts$122$48170113,682-4.1%
Puerto Rico$122$42534189-4.2%
Delaware$121$624851,449-5.2%
Washington$120$4946669,792-6.0%
Montana$119$527941,222-6.5%
Rhode Island$118$5341252,185-7.1%
Oregon$118$5103324,949-7.1%
Mississippi$118$8592172,992-7.3%
New Mexico$116$6171711,648-9.2%
South Dakota$114$397891,051-10.1%
Tennessee$114$6556729,685-10.7%
Utah$113$3982132,078-10.9%
Hawaii$113$481981,172-11.1%
Alabama$113$4274514,887-11.1%
Arkansas$113$4452423,665-11.1%
Georgia$113$5987859,807-11.2%
South Carolina$112$7294197,329-11.9%
Pennsylvania$112$5201,28818,968-12.1%
New Hampshire$111$8571572,690-12.8%
Nebraska$111$4591812,294-13.0%
Kansas$111$4192343,515-13.0%
Idaho$108$6401511,769-15.0%
Michigan$108$53085512,726-15.1%
Missouri$108$5466129,479-15.4%
Kentucky$107$5213014,084-15.9%
Ohio$107$68699313,998-16.0%
North Dakota$106$470931,274-16.6%
Maine$105$4211321,550-17.3%
Indiana$105$5075367,720-17.5%
Oklahoma$104$4642423,779-18.5%
West Virginia$102$4581381,936-19.8%
Vermont$102$61936901-20.2%

⚠️ 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