75574

Ct scan of blood vessels and grafts of heart with contrast

Medicare pricing data for 6,974 providers across 52 states

🤖AI Overview

This procedure has a 5.3x markup — hospitals charge $845.11 but Medicare allows only $159.75. Uninsured patients may face bills 5.3 times higher than what insurance negotiates. Prices vary significantly by location — from $101 in Puerto Rico to $320 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 and grafts of heart with contrast (HCPCS code 75574) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $159.75, but hospitals typically charge $845.11 — a 5.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$31.95

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $159.75, your out-of-pocket cost would be approximately $31.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$159.75
Average Hospital Charge
$845.11
Markup Ratio
5.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$845.11
Medicare Allowed$159.75
Medicare Payment$123.08

Hospitals charge 5.3x more than what Medicare allows for this procedure. Medicare actually pays $123.08 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$320$3,47921425+100.0%
Nevada$238$1,452711,523+48.9%
New York$219$1,07439417,117+37.0%
Mississippi$196$1,316671,024+22.8%
California$191$95058019,103+19.3%
Maryland$183$8341244,054+14.3%
Florida$179$1,15966816,953+12.1%
Virginia$178$9681535,561+11.6%
Arizona$168$1,0211714,774+5.5%
Minnesota$167$1,2372075,221+4.6%
New Jersey$165$7022245,736+3.2%
Illinois$154$8443348,695-3.5%
Washington$149$5891282,165-6.7%
Alabama$147$5751442,543-7.9%
North Carolina$143$6682715,743-10.6%
Texas$142$78747213,063-11.1%
Louisiana$142$8221121,833-11.2%
Massachusetts$138$5961254,464-13.8%
Wisconsin$137$1,4761451,719-14.3%
Rhode Island$136$80713448-15.0%
Connecticut$134$675851,002-16.2%
Pennsylvania$132$5642735,640-17.5%
Michigan$130$5201883,763-18.5%
Colorado$129$5761322,493-19.3%
Tennessee$128$6601675,566-20.0%
District of Columbia$127$48711464-20.5%
New Hampshire$127$92433635-20.6%
Kansas$124$42662655-22.1%
Delaware$124$40819437-22.4%
Utah$124$39939535-22.5%
Iowa$123$52455925-23.0%
Ohio$123$5892805,097-23.1%
Georgia$122$8202014,925-23.6%
Oregon$121$40865914-24.1%
South Carolina$118$6961603,266-26.2%
Kentucky$118$364962,051-26.3%
Vermont$117$540666-26.8%
Idaho$115$1,16137408-28.0%
Hawaii$115$47912177-28.1%
New Mexico$113$48225275-29.3%
Missouri$113$5171212,011-29.4%
Montana$113$38311216-29.5%
North Dakota$112$34527422-29.6%
West Virginia$111$49054739-30.3%
Arkansas$111$304701,588-30.5%
South Dakota$111$35821251-30.6%
Maine$110$38223155-31.0%
Wyoming$110$2301082-31.2%
Oklahoma$109$443751,347-31.8%
Indiana$109$4841272,466-31.9%
Nebraska$108$40347821-32.4%
Puerto Rico$101$117645-36.5%

⚠️ 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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