75716

Review by radiologist of both arms or legs arteries image

Medicare pricing data for 7,353 providers across 51 states

🤖AI Overview

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 both arms or legs arteries image (HCPCS code 75716) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $116.69, but hospitals typically charge $515.56 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $116.69, your out-of-pocket cost would be approximately $23.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$116.69
Average Hospital Charge
$515.56
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$515.56
Medicare Allowed$116.69
Medicare Payment$92.95

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $92.95 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$162$1,8121663+38.8%
Maryland$148$4051231,214+27.0%
Hawaii$148$4191284+26.9%
California$141$4605964,489+21.0%
New Jersey$141$6232341,511+20.8%
Florida$136$4706945,797+16.1%
Connecticut$129$56557159+10.4%
Michigan$126$4372681,541+8.0%
New York$126$5063362,110+7.6%
Arizona$123$3502071,206+5.7%
Massachusetts$123$480116522+5.5%
District of Columbia$121$41316159+3.7%
Oregon$118$35764385+0.9%
Utah$115$2891986-1.7%
Georgia$113$5031931,101-3.0%
Delaware$113$31631136-3.5%
Virginia$112$342174807-4.3%
Alabama$111$367121617-5.3%
Colorado$110$73572280-5.8%
North Carolina$109$4472181,417-6.3%
Mississippi$109$46596919-6.4%
Texas$109$9558895,781-6.6%
Tennessee$109$3681771,124-6.9%
Illinois$105$6993231,812-10.1%
Washington$104$480105335-10.8%
Pennsylvania$104$2803091,557-10.9%
Louisiana$104$1,1861991,052-11.3%
Nevada$102$33250201-12.5%
Oklahoma$102$3611451,085-12.5%
South Dakota$101$31728335-13.9%
South Carolina$100$370115538-14.1%
Arkansas$99$2621021,105-15.2%
Ohio$98$2522001,232-16.3%
Iowa$97$32055366-16.5%
Missouri$96$364152991-17.3%
Kansas$94$44775596-19.4%
Rhode Island$92$2841548-21.4%
Kentucky$92$22889470-21.4%
Montana$91$24528152-21.8%
Nebraska$91$26243338-21.9%
Wisconsin$91$763129464-21.9%
New Hampshire$91$3793074-22.0%
New Mexico$90$2641946-22.6%
Wyoming$90$5001126-22.9%
West Virginia$90$22634175-23.0%
Idaho$90$27530181-23.1%
Minnesota$90$409106301-23.1%
Maine$89$2581554-24.1%
North Dakota$88$32521121-24.7%
Indiana$88$3221681,037-24.7%
Puerto Rico$87$1251126-25.4%

⚠️ 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