93313

Insertion of probe in esophagus for heart ultrasound

Medicare pricing data for 2,952 providers across 46 states

🤖AI Overview

This procedure has a 34.0x markup — hospitals charge $380.43 but Medicare allows only $11.18. Uninsured patients may face bills 34.0 times higher than what insurance negotiates. 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

Insertion of probe in esophagus for heart ultrasound (HCPCS code 93313) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.18, but hospitals typically charge $380.43 — a 34.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.24

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.18, your out-of-pocket cost would be approximately $2.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$11.18
Average Hospital Charge
$380.43
Markup Ratio
34.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$380.43
Medicare Allowed$11.18
Medicare Payment$8.89

Hospitals charge 34.0x more than what Medicare allows for this procedure. Medicare actually pays $8.89 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$15$312465+34.3%
New York$12$472108923+11.7%
Maryland$12$22527191+4.0%
California$12$2673282,424+4.0%
Massachusetts$12$7101041,255+3.7%
New Jersey$12$3862596+3.6%
District of Columbia$12$2721243+3.5%
Connecticut$11$4611049+2.6%
Illinois$11$415127555+2.0%
Delaware$11$375618+1.6%
Florida$11$555196921+1.4%
New Hampshire$11$76619167-0.2%
Nevada$11$4242166-0.5%
New Mexico$11$1311326-1.2%
Colorado$11$24651218-1.3%
Pennsylvania$11$597100493-1.3%
Washington$11$14441121-1.3%
Virginia$11$24668265-1.4%
Montana$11$17928174-1.5%
Kansas$11$43526121-1.7%
Ohio$11$245179581-2.2%
Arizona$11$32840203-2.2%
Texas$11$427136509-2.5%
Georgia$11$24479327-2.7%
West Virginia$11$2602786-2.7%
Louisiana$11$27028102-2.8%
Kentucky$11$3662057-3.1%
Utah$11$20271465-3.1%
Minnesota$11$456114698-3.4%
Michigan$11$39297306-3.5%
North Dakota$11$2371961-3.8%
Oklahoma$11$22255342-3.8%
Missouri$11$31069338-3.9%
Oregon$11$19639141-3.9%
South Carolina$11$37842350-4.0%
North Carolina$11$552103408-4.1%
Maine$11$170628-4.3%
Alabama$11$34950170-4.7%
Indiana$11$2981471,051-5.2%
Tennessee$11$44874242-5.5%
Wisconsin$11$31684220-5.5%
Iowa$11$24889493-6.1%
Idaho$10$13420134-6.5%
Nebraska$10$1181049-7.2%
Arkansas$10$2791765-7.7%
Mississippi$10$600714-9.7%

⚠️ 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