76881

Complete ultrasound scan of joint

Medicare pricing data for 7,955 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

Complete ultrasound scan of joint (HCPCS code 76881) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.64, but hospitals typically charge $245.37 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.33

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $51.64, your out-of-pocket cost would be approximately $10.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$51.64
Average Hospital Charge
$245.37
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$245.37
Medicare Allowed$51.64
Medicare Payment$39.51

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $39.51 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$59$26214775+14.3%
California$58$2431,20052,760+11.5%
New York$57$36558312,461+10.4%
Maryland$57$2031486,987+9.9%
Maine$57$30917128+9.6%
New Jersey$57$6172024,133+9.5%
Washington$55$3001732,190+6.5%
Alaska$54$513915+5.4%
Illinois$53$3052486,109+3.3%
Nevada$52$1801081,197+0.0%
Connecticut$52$33058546+0.0%
Colorado$52$223130754-0.3%
New Mexico$51$20349692-0.5%
Florida$51$20569021,977-0.7%
Hawaii$51$21931149-1.4%
Louisiana$51$263934,311-1.7%
Utah$51$1791011,254-1.7%
New Hampshire$50$25960470-2.4%
Puerto Rico$50$73581,053-2.5%
Kentucky$50$16353929-3.9%
Vermont$49$2158142-4.2%
South Carolina$49$242862,436-4.9%
West Virginia$49$312241,017-5.3%
Missouri$49$2781291,912-5.5%
Minnesota$49$3581371,128-5.5%
Pennsylvania$49$2262572,704-6.0%
Virginia$48$2352035,240-6.7%
Georgia$48$2492401,897-7.0%
Texas$48$2624804,901-7.4%
Iowa$47$28734416-8.2%
Idaho$47$303631,164-8.2%
Oregon$47$2001432,898-8.6%
Michigan$47$1723065,829-9.9%
Oklahoma$47$17265268-9.9%
Montana$47$17544224-10.0%
Massachusetts$46$2111561,139-10.3%
Rhode Island$46$16918178-11.0%
Kansas$45$25978383-12.8%
Delaware$45$16728444-13.0%
Ohio$44$2051542,801-14.2%
Mississippi$43$20258186-15.9%
Indiana$43$2871032,123-16.0%
North Carolina$43$15324211,586-16.4%
Nebraska$40$13244206-22.7%
Wyoming$39$49915411-23.9%
Arizona$39$2082195,390-24.1%
South Dakota$38$872597-26.0%
Tennessee$38$1821681,394-26.1%
Alabama$37$1661702,103-28.8%
Arkansas$34$19755682-33.2%
Wisconsin$34$2941361,562-33.8%
North Dakota$32$14715250-38.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber