Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel
Medicare pricing data for 6,746 providers across 52 states
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 evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS code 92978) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $93.28, but hospitals typically charge $408.78 — a 4.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $93.28, your out-of-pocket cost would be approximately $18.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $74.47 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $118 | $753 | 12 | 306 | +26.2% |
| New York | $109 | $558 | 409 | 7,686 | +17.0% |
| District of Columbia | $101 | $338 | 20 | 456 | +8.4% |
| Illinois | $98 | $455 | 273 | 4,133 | +5.5% |
| New Jersey | $98 | $658 | 191 | 2,680 | +5.4% |
| Florida | $98 | $364 | 503 | 5,453 | +5.4% |
| Maryland | $98 | $523 | 76 | 961 | +4.8% |
| Michigan | $98 | $407 | 279 | 3,666 | +4.7% |
| Connecticut | $96 | $653 | 79 | 1,125 | +3.3% |
| Massachusetts | $96 | $358 | 133 | 2,335 | +2.5% |
| California | $94 | $370 | 545 | 7,376 | +0.5% |
| Rhode Island | $93 | $315 | 18 | 250 | -0.1% |
| Nevada | $93 | $341 | 68 | 1,000 | -0.6% |
| Virginia | $93 | $280 | 171 | 2,833 | -0.6% |
| Delaware | $93 | $278 | 17 | 102 | -0.7% |
| West Virginia | $92 | $266 | 44 | 647 | -1.0% |
| Washington | $92 | $286 | 144 | 3,429 | -1.3% |
| Pennsylvania | $92 | $421 | 280 | 3,513 | -1.4% |
| Puerto Rico | $92 | $301 | 14 | 51 | -1.5% |
| New Hampshire | $92 | $761 | 25 | 601 | -1.5% |
| Colorado | $92 | $307 | 91 | 1,367 | -1.7% |
| New Mexico | $92 | $303 | 25 | 577 | -1.8% |
| Louisiana | $91 | $591 | 146 | 1,456 | -2.0% |
| Ohio | $91 | $310 | 269 | 3,833 | -2.4% |
| Georgia | $91 | $409 | 202 | 3,476 | -2.5% |
| Hawaii | $91 | $216 | 11 | 196 | -2.7% |
| Missouri | $91 | $411 | 165 | 3,079 | -2.7% |
| Montana | $91 | $356 | 29 | 522 | -2.8% |
| Wyoming | $91 | $1,159 | 5 | 160 | -2.9% |
| Texas | $90 | $409 | 611 | 5,764 | -3.1% |
| Oregon | $90 | $307 | 67 | 1,152 | -3.8% |
| Arizona | $89 | $255 | 191 | 2,841 | -4.1% |
| Utah | $89 | $303 | 37 | 648 | -4.4% |
| Oklahoma | $88 | $238 | 108 | 1,383 | -5.4% |
| Kentucky | $88 | $235 | 110 | 1,749 | -5.7% |
| Kansas | $88 | $384 | 56 | 933 | -6.1% |
| North Carolina | $87 | $512 | 187 | 2,671 | -6.3% |
| Alabama | $87 | $367 | 96 | 859 | -6.8% |
| South Carolina | $87 | $452 | 111 | 1,324 | -6.9% |
| Maine | $86 | $262 | 16 | 230 | -7.3% |
| Minnesota | $86 | $418 | 106 | 1,427 | -7.5% |
| North Dakota | $86 | $535 | 18 | 262 | -7.7% |
| Iowa | $86 | $404 | 58 | 587 | -7.9% |
| Vermont | $85 | $520 | 10 | 216 | -8.6% |
| Mississippi | $85 | $425 | 63 | 604 | -8.6% |
| Nebraska | $85 | $281 | 42 | 846 | -8.7% |
| South Dakota | $85 | $165 | 16 | 554 | -9.1% |
| Indiana | $85 | $287 | 151 | 2,063 | -9.4% |
| Wisconsin | $84 | $1,021 | 124 | 1,201 | -9.6% |
| Idaho | $84 | $250 | 29 | 396 | -10.0% |
| Arkansas | $84 | $347 | 85 | 1,006 | -10.1% |
| Tennessee | $83 | $363 | 163 | 2,173 | -10.6% |
⚠️ 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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