76000

Imaging guidance for procedure, 60 minutes or less

Medicare pricing data for 14,397 providers across 52 states

🤖AI Overview

This procedure has a 10.9x markup — hospitals charge $278.03 but Medicare allows only $25.47. Uninsured patients may face bills 10.9 times higher than what insurance negotiates. Prices vary significantly by location — from $14 in South Dakota to $34 in Hawaii. 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 guidance for procedure, 60 minutes or less (HCPCS code 76000) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.47, but hospitals typically charge $278.03 — a 10.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.09

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $25.47, your out-of-pocket cost would be approximately $5.09. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$25.47
Average Hospital Charge
$278.03
Markup Ratio
10.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$278.03
Medicare Allowed$25.47
Medicare Payment$19.87

Hospitals charge 10.9x more than what Medicare allows for this procedure. Medicare actually pays $19.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$34$20733143+32.0%
Oklahoma$33$1551601,929+28.3%
California$32$3361,78637,547+27.5%
New York$32$2108128,164+25.3%
Idaho$28$29256390+9.1%
New Mexico$27$21275462+7.2%
South Carolina$26$2402061,539+1.2%
Florida$25$2551,0438,695-3.7%
Mississippi$24$189104836-5.8%
Alaska$24$32137228-6.8%
New Jersey$24$3374954,386-7.4%
North Carolina$23$1874482,338-8.0%
Alabama$22$1221831,037-11.9%
Illinois$22$2245852,770-13.4%
Nevada$22$519128561-13.4%
Kansas$22$192107728-14.1%
Maryland$22$3182702,008-14.5%
Oregon$22$227167705-14.5%
Arizona$21$5683572,497-17.2%
Texas$21$4381,0056,780-18.6%
Virginia$20$1483752,340-23.2%
Colorado$19$3182571,604-23.6%
Washington$19$1723311,347-24.5%
Georgia$19$1743591,457-25.0%
Michigan$19$2364122,234-25.4%
Pennsylvania$19$1006492,875-25.4%
Minnesota$19$1403331,166-25.5%
Kentucky$19$731931,009-26.5%
Louisiana$19$1741891,198-26.7%
Iowa$19$169155916-26.8%
Ohio$18$2794921,885-27.6%
Indiana$18$3422812,891-28.2%
Massachusetts$18$1753271,347-28.6%
Connecticut$18$177178778-30.0%
Tennessee$18$1982971,685-30.5%
Wyoming$18$15529425-30.9%
Arkansas$17$65890341-32.2%
New Hampshire$17$38161267-32.6%
District of Columbia$17$12827185-32.8%
Missouri$17$2673051,402-34.0%
Rhode Island$17$7339102-35.0%
North Dakota$16$15474425-35.6%
Utah$16$107113435-36.5%
Nebraska$16$891221,057-37.5%
Delaware$16$16373741-37.6%
Puerto Rico$16$35911-39.0%
Montana$15$3551270-39.8%
Maine$15$4756184-40.8%
Vermont$15$601975-40.8%
West Virginia$15$8163404-41.0%
Wisconsin$15$1713061,405-41.1%
South Dakota$14$4133147-43.1%

⚠️ 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