93308

Ultrasound of heart, follow-up

Medicare pricing data for 38,296 providers across 52 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $170.30 but Medicare allows only $31.09. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. Prices vary significantly by location — from $24 in Maine to $59 in Puerto Rico. 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

Ultrasound of heart, follow-up (HCPCS code 93308) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $31.09, but hospitals typically charge $170.30 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.22

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $31.09, your out-of-pocket cost would be approximately $6.22. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$31.09
Average Hospital Charge
$170.30
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$170.30
Medicare Allowed$31.09
Medicare Payment$23.97

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $23.97 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$59$12840161+89.2%
Alaska$48$487871,281+54.0%
Wyoming$41$46538377+32.5%
New York$38$2212,51529,848+21.4%
Louisiana$38$1944714,109+21.3%
Maryland$37$1686777,994+19.5%
Florida$37$1372,60939,742+18.3%
Texas$36$1852,49329,095+15.9%
California$36$2053,81144,255+15.7%
Alabama$35$1345195,680+13.3%
Mississippi$35$1983154,937+11.5%
Arizona$34$25474910,398+10.0%
New Jersey$34$1551,14910,447+9.3%
Washington$33$11280714,883+5.9%
North Carolina$33$1611,27616,834+4.8%
South Carolina$31$1937318,811+0.8%
Arkansas$31$1273016,960+0.6%
Georgia$31$1491,09314,765-0.3%
Iowa$30$1443196,583-2.3%
Wisconsin$30$44274514,924-3.7%
Delaware$30$2621592,045-4.1%
Illinois$29$1661,34724,676-5.9%
West Virginia$29$1161903,631-6.2%
Connecticut$29$2616549,109-7.0%
Nevada$29$1072532,416-8.2%
Nebraska$29$1162695,230-8.3%
Virginia$28$1011,05318,627-8.6%
Utah$28$1042552,121-10.0%
Pennsylvania$28$1812,22731,245-10.0%
Massachusetts$28$1521,29818,587-10.1%
Michigan$28$1411,43619,243-10.1%
Rhode Island$28$1412181,624-10.7%
Hawaii$28$126129959-11.3%
Colorado$28$1227548,425-11.3%
Kansas$27$1533265,611-11.6%
District of Columbia$27$2361152,040-11.9%
Tennessee$27$11164210,093-12.1%
Oklahoma$27$1253626,268-12.2%
Oregon$27$1854396,617-12.8%
Minnesota$27$19191514,409-13.4%
Missouri$27$14170413,319-14.7%
Kentucky$26$844887,489-15.5%
Idaho$26$901532,431-16.1%
Ohio$26$1471,68628,326-16.2%
North Dakota$25$124842,547-18.3%
Montana$25$106972,370-18.8%
New Mexico$25$921121,101-19.0%
New Hampshire$25$2251714,239-19.6%
Indiana$24$10862812,122-21.3%
South Dakota$24$84843,867-21.3%
Vermont$24$1511031,244-21.7%
Maine$24$1411882,594-21.8%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber