74230

Imaging for evaluation of swallowing function

Medicare pricing data for 15,362 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $24 in Iowa to $60 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

Imaging for evaluation of swallowing function (HCPCS code 74230) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $31.21, but hospitals typically charge $135.67 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.24

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $31.21, your out-of-pocket cost would be approximately $6.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$31.21
Average Hospital Charge
$135.67
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$135.67
Medicare Allowed$31.21
Medicare Payment$24.32

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $24.32 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$60$84936+91.0%
Minnesota$42$1684957,982+34.2%
Louisiana$42$1382043,974+34.0%
Arizona$41$2142204,314+31.9%
Texas$40$1631,10828,503+28.6%
Massachusetts$39$10142310,507+23.6%
Mississippi$37$117792,626+19.0%
New York$36$14776315,369+14.4%
Indiana$35$1273179,314+11.8%
Alaska$34$19638726+8.4%
Nebraska$34$1121233,149+7.6%
Nevada$33$1961281,513+7.0%
California$32$1481,37324,754+3.4%
Connecticut$32$1162154,134+2.4%
Florida$32$16099825,808+2.1%
Illinois$31$15577320,005-0.7%
Oklahoma$30$1231473,675-4.1%
District of Columbia$30$13149848-5.3%
Ohio$29$13058715,298-6.1%
Maryland$29$1162847,476-7.1%
Utah$29$90982,335-7.1%
New Jersey$29$1374376,956-8.3%
Arkansas$28$1031533,194-10.4%
Washington$27$973215,071-12.4%
Tennessee$27$1163295,049-12.7%
South Carolina$27$1232664,670-14.3%
Missouri$26$1123719,278-16.0%
Colorado$26$1222874,819-16.2%
Virginia$26$1014077,023-16.5%
Pennsylvania$26$10376213,101-16.6%
Kentucky$26$951854,671-17.0%
Delaware$26$10748971-17.1%
Kansas$26$891233,426-17.3%
Michigan$26$1174287,451-17.6%
Montana$26$8448705-18.2%
Rhode Island$26$102681,351-18.2%
Hawaii$26$13849719-18.3%
New Hampshire$26$1481061,820-18.3%
Georgia$25$1383123,058-18.3%
Wisconsin$25$2435406,815-18.6%
New Mexico$25$14159778-18.8%
Vermont$25$17729333-19.7%
Oregon$25$922172,768-19.9%
Maine$25$98961,577-20.1%
North Carolina$25$11858611,694-20.3%
Idaho$25$13573805-20.4%
West Virginia$25$108861,806-20.5%
North Dakota$25$111471,248-20.6%
South Dakota$25$87501,229-20.8%
Wyoming$25$11130365-21.2%
Alabama$24$932132,942-21.6%
Iowa$24$1071683,263-21.8%

⚠️ 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