91110

Imaging of digestive tract done from the inside of the digestive tract

Medicare pricing data for 8,362 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $108 in Vermont to $672 in Nevada. 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 of digestive tract done from the inside of the digestive tract (HCPCS code 91110) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $492.97, but hospitals typically charge $1,973 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$98.59

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $492.97, your out-of-pocket cost would be approximately $98.59. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$492.97
Average Hospital Charge
$1,973
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,973.47
Medicare Allowed$492.97
Medicare Payment$390.12

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $390.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$672$1,93751304+36.3%
New York$659$2,6516023,637+33.6%
Maryland$656$2,283173970+33.1%
Alaska$637$5,1682285+29.2%
Delaware$621$1,95926174+26.0%
California$605$2,4066163,471+22.8%
Colorado$598$1,74697366+21.3%
Connecticut$594$2,690138574+20.5%
Wyoming$588$2,7161153+19.4%
Rhode Island$562$1,56031228+14.1%
New Jersey$557$2,7563291,409+12.9%
Florida$547$1,8707223,424+10.9%
Oregon$524$1,977102311+6.3%
New Hampshire$509$2,24953292+3.2%
Washington$504$1,723179937+2.3%
Pennsylvania$502$1,5234011,693+1.9%
Texas$488$2,3076752,886-1.1%
Michigan$487$1,381220962-1.3%
North Carolina$486$1,8723261,259-1.4%
Virginia$478$2,0612731,174-3.1%
Arkansas$477$1,77160315-3.3%
Alabama$474$1,387101528-3.9%
South Carolina$468$1,6191551,094-5.2%
Tennessee$467$1,844161778-5.2%
Minnesota$450$2,06782358-8.6%
Arizona$446$1,831155675-9.5%
Illinois$444$2,1843731,843-10.0%
Georgia$434$1,7972501,625-11.9%
Ohio$418$1,4682911,200-15.3%
Mississippi$413$2,22275487-16.3%
Nebraska$412$1,81384289-16.5%
Hawaii$411$1,2701869-16.6%
Massachusetts$403$1,6221851,612-18.3%
Louisiana$399$1,784133800-19.0%
Indiana$377$1,529151742-23.6%
Utah$371$1,18049264-24.7%
South Dakota$370$65322169-24.9%
Oklahoma$367$1,41498383-25.6%
Kansas$361$1,34173401-26.8%
Iowa$345$1,41672470-30.0%
Kentucky$316$1,056109469-35.8%
Idaho$300$9433195-39.1%
Missouri$297$1,374188910-39.8%
Montana$291$1,25930127-41.0%
District of Columbia$272$9931670-44.7%
New Mexico$267$1,2442280-45.8%
Wisconsin$261$2,491208713-47.1%
West Virginia$238$74333127-51.7%
Maine$209$1,34254210-57.7%
North Dakota$166$6531796-66.4%
Vermont$108$950938-78.0%

⚠️ 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