76514

Ultrasound scan of cornea to determine thickness

Medicare pricing data for 23,736 providers across 52 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

Ultrasound scan of cornea to determine thickness (HCPCS code 76514) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.83, but hospitals typically charge $45.99 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.17

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $10.83, your out-of-pocket cost would be approximately $2.17. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$10.83
Average Hospital Charge
$45.99
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$45.99
Medicare Allowed$10.83
Medicare Payment$7.84

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $7.84 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$13$91761,152+20.2%
District of Columbia$12$50581,991+13.0%
New York$12$611,59833,059+12.7%
Maryland$12$3748318,651+8.3%
California$12$511,93354,607+7.0%
Connecticut$12$803604,395+6.3%
New Jersey$11$5678516,636+5.5%
Rhode Island$11$51119836+2.4%
Hawaii$11$391253,342+1.9%
Illinois$11$6093713,639+1.8%
Florida$11$351,41438,010+0.4%
Washington$11$375898,150+0.4%
Delaware$11$42951,857+0.3%
Massachusetts$11$596429,634+0.3%
Virginia$11$3964112,422-0.1%
Montana$11$30921,353-0.6%
Nevada$11$441542,929-0.6%
New Hampshire$11$441742,236-0.8%
Colorado$11$383504,178-0.8%
Puerto Rico$11$1394805-1.0%
Pennsylvania$11$471,24722,317-1.6%
Wyoming$11$3436410-2.5%
Texas$10$411,58034,902-3.1%
Michigan$10$4774111,773-3.4%
Oregon$10$373273,947-3.7%
Georgia$10$4959610,065-3.9%
Arizona$10$3347814,062-4.5%
Missouri$10$394936,771-4.9%
Minnesota$10$515375,577-5.8%
Maine$10$421541,092-5.9%
New Mexico$10$481291,325-6.3%
Louisiana$10$523435,885-6.7%
South Carolina$10$423607,177-6.7%
South Dakota$10$341091,586-7.4%
Kansas$10$562764,617-7.6%
Indiana$10$385467,601-7.8%
Utah$10$401501,560-8.0%
North Carolina$10$3775911,189-8.2%
Ohio$10$408368,601-8.2%
Oklahoma$10$373204,334-8.3%
Kentucky$10$373092,855-8.5%
Nebraska$10$391431,737-9.4%
Alabama$10$373483,834-9.5%
Tennessee$10$385326,548-9.6%
North Dakota$10$4382644-10.1%
Mississippi$10$412423,904-10.4%
Vermont$10$3271678-10.7%
Idaho$10$311231,096-11.2%
Wisconsin$10$934973,948-11.3%
West Virginia$10$381291,527-11.4%
Iowa$9$502583,690-14.3%
Arkansas$9$302283,953-15.3%

⚠️ 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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