Mri scan of blood flow of heart
Medicare pricing data for 1,294 providers across 40 states
This procedure has a 8.4x markup — hospitals charge $131.42 but Medicare allows only $15.59. Uninsured patients may face bills 8.4 times higher than what insurance negotiates. Prices vary significantly by location — from $11 in Arkansas to $55 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
Mri scan of blood flow of heart (HCPCS code 75565) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.59, but hospitals typically charge $131.42 — a 8.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $15.59, your out-of-pocket cost would be approximately $3.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 8.4x more than what Medicare allows for this procedure. Medicare actually pays $12.27 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $55 | $556 | 2 | 76 | +249.7% |
| Utah | $29 | $1,351 | 6 | 35 | +87.6% |
| California | $24 | $525 | 104 | 989 | +53.7% |
| North Carolina | $23 | $254 | 52 | 1,884 | +50.1% |
| New York | $22 | $291 | 77 | 1,218 | +41.7% |
| Maryland | $18 | $103 | 23 | 105 | +17.1% |
| Alabama | $17 | $139 | 17 | 102 | +8.3% |
| Missouri | $17 | $98 | 28 | 307 | +8.3% |
| Pennsylvania | $16 | $58 | 97 | 1,385 | +0.3% |
| Texas | $15 | $92 | 76 | 2,164 | -0.8% |
| Washington | $15 | $61 | 36 | 263 | -0.9% |
| Virginia | $15 | $130 | 36 | 405 | -3.8% |
| Colorado | $14 | $125 | 29 | 197 | -7.2% |
| New Jersey | $14 | $106 | 24 | 182 | -7.6% |
| Massachusetts | $14 | $77 | 54 | 382 | -8.0% |
| Connecticut | $14 | $63 | 21 | 403 | -10.8% |
| Florida | $14 | $92 | 49 | 560 | -12.8% |
| Minnesota | $13 | $69 | 56 | 387 | -14.0% |
| District of Columbia | $13 | $95 | 4 | 27 | -17.9% |
| Wisconsin | $13 | $162 | 26 | 233 | -19.1% |
| Tennessee | $13 | $61 | 45 | 1,160 | -19.6% |
| Illinois | $12 | $73 | 71 | 1,836 | -21.1% |
| Rhode Island | $12 | $58 | 3 | 16 | -22.4% |
| Oregon | $12 | $32 | 10 | 238 | -23.1% |
| Michigan | $12 | $64 | 45 | 532 | -23.7% |
| Ohio | $12 | $68 | 102 | 1,778 | -24.1% |
| Nevada | $12 | $42 | 2 | 16 | -24.2% |
| Arizona | $12 | $69 | 25 | 269 | -24.2% |
| New Hampshire | $12 | $55 | 8 | 234 | -24.5% |
| Georgia | $12 | $54 | 55 | 987 | -25.2% |
| North Dakota | $12 | $37 | 7 | 57 | -25.7% |
| South Dakota | $11 | $60 | 1 | 32 | -26.6% |
| Mississippi | $11 | $67 | 4 | 32 | -26.6% |
| Iowa | $11 | $98 | 6 | 20 | -26.8% |
| Louisiana | $11 | $36 | 2 | 59 | -27.0% |
| Indiana | $11 | $67 | 28 | 510 | -27.1% |
| Oklahoma | $11 | $66 | 9 | 277 | -27.3% |
| South Carolina | $11 | $43 | 8 | 87 | -27.5% |
| Kentucky | $11 | $42 | 17 | 263 | -28.2% |
| Arkansas | $11 | $24 | 4 | 14 | -29.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber