93312

Ultrasound of heart with probe in esophagus, with report

Medicare pricing data for 19,720 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 of heart with probe in esophagus, with report (HCPCS code 93312) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $105.53, but hospitals typically charge $509.96 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.11

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $105.53, your out-of-pocket cost would be approximately $21.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$105.53
Average Hospital Charge
$509.96
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$509.96
Medicare Allowed$105.53
Medicare Payment$82.99

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $82.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$143$85233742+35.4%
Wyoming$115$1,03527346+9.0%
New York$114$6341,05817,671+8.2%
California$113$5641,76526,167+7.4%
New Jersey$111$4876139,521+5.4%
Connecticut$109$6952373,004+3.5%
Massachusetts$109$4934727,176+3.5%
Maryland$109$5142893,867+3.1%
District of Columbia$109$446551,178+2.9%
Washington$107$4444146,178+1.3%
Illinois$106$52084714,001+0.4%
Arizona$106$4944488,789+0.2%
New Hampshire$106$8661001,945+0.1%
Hawaii$106$46137552+0.0%
Rhode Island$105$36453787-0.1%
Delaware$105$539581,206-0.2%
Oregon$105$4642212,929-0.2%
Florida$105$4091,63331,005-0.3%
Colorado$105$4302914,058-0.4%
Wisconsin$105$1,1663745,587-0.6%
Missouri$105$4434558,380-0.6%
Virginia$105$4814958,156-0.6%
Pennsylvania$105$4751,05115,608-0.8%
Nevada$104$4961842,866-1.3%
Michigan$104$46372510,716-1.4%
Montana$104$409661,421-1.6%
Texas$104$6271,56924,917-1.6%
Minnesota$104$6233374,551-1.8%
North Dakota$103$434391,074-2.0%
Georgia$103$5555657,772-2.5%
South Dakota$103$380531,310-2.6%
Vermont$103$55030323-2.7%
South Carolina$103$5363397,277-2.7%
North Carolina$103$6236409,516-2.7%
Utah$103$3131221,896-2.7%
Puerto Rico$102$17636171-3.1%
Maine$102$380961,312-3.2%
New Mexico$102$51859566-3.3%
Ohio$102$40976712,052-3.3%
Louisiana$102$4012974,283-3.4%
Kansas$102$4092085,018-3.6%
Idaho$102$333741,025-3.6%
Oklahoma$101$3352174,409-3.9%
West Virginia$101$421961,211-4.0%
Arkansas$101$4041954,612-4.3%
Nebraska$101$3401474,025-4.5%
Kentucky$101$3292994,444-4.6%
Alabama$101$3543095,423-4.6%
Indiana$101$4264488,432-4.6%
Iowa$101$4771562,802-4.7%
Tennessee$100$51441110,088-5.0%
Mississippi$100$5681543,095-5.0%

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

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