74300

Review by radiologist of bile and/or pancreatic duct image during surgery

Medicare pricing data for 5,840 providers across 50 states

🤖AI Overview

This procedure has a 7.4x markup — hospitals charge $88.46 but Medicare allows only $11.96. Uninsured patients may face bills 7.4 times higher than what insurance negotiates. Prices vary significantly by location — from $9 in Florida to $17 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

Review by radiologist of bile and/or pancreatic duct image during surgery (HCPCS code 74300) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.96, but hospitals typically charge $88.46 — a 7.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.39

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.96, your out-of-pocket cost would be approximately $2.39. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$11.96
Average Hospital Charge
$88.46
Markup Ratio
7.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$88.46
Medicare Allowed$11.96
Medicare Payment$9.38

Hospitals charge 7.4x more than what Medicare allows for this procedure. Medicare actually pays $9.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$17$1102462+44.4%
Connecticut$14$914673+14.0%
California$14$793681,170+13.5%
District of Columbia$14$831021+13.2%
New York$13$113113232+12.6%
Illinois$13$128316809+12.0%
Hawaii$13$1691973+10.5%
Washington$13$52210653+9.9%
Massachusetts$13$72105367+9.4%
Montana$13$5849177+9.3%
New Hampshire$13$16362150+8.9%
New Jersey$13$153111228+8.1%
Wyoming$13$122927+7.5%
Vermont$13$1131020+7.4%
Texas$13$1034391,411+6.6%
Nevada$13$1333397+6.3%
Rhode Island$13$1071125+6.3%
North Dakota$13$782357+6.1%
Maine$13$642140+5.4%
Missouri$13$76165474+5.4%
Utah$13$6973200+5.4%
Oregon$13$56136341+4.8%
South Dakota$13$7039123+4.6%
Michigan$12$75100153+4.2%
Pennsylvania$12$96204481+3.8%
Iowa$12$73123359+3.5%
Kansas$12$5191304+3.3%
Colorado$12$90115229+3.0%
Arizona$12$87100328+2.7%
Louisiana$12$12345137+2.1%
Nebraska$12$7858172+1.7%
Wisconsin$12$123214452+1.4%
Minnesota$12$73108212+0.8%
West Virginia$12$6864155+0.5%
New Mexico$12$953188-0.2%
Alabama$12$63107463-0.4%
Oklahoma$12$8486284-0.8%
Maryland$12$744282-1.0%
Virginia$12$51202695-1.9%
Georgia$12$104234603-2.3%
South Carolina$12$7278316-2.8%
Arkansas$12$4997496-2.8%
Indiana$12$79110301-3.7%
Mississippi$11$8175374-4.5%
North Carolina$11$87212521-4.5%
Tennessee$11$85140322-6.3%
Idaho$11$10753177-8.8%
Ohio$9$100235597-24.5%
Kentucky$9$68104426-27.2%
Florida$9$1213831,164-28.8%

⚠️ 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

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