93321

Ultrasound of heart blood flow, valves and chambers, follow-up

Medicare pricing data for 17,534 providers across 52 states

🤖AI Overview

This procedure has a 8.0x markup — hospitals charge $67.01 but Medicare allows only $8.41. Uninsured patients may face bills 8.0 times higher than what insurance negotiates. Prices vary significantly by location — from $7 in Indiana to $24 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 blood flow, valves and chambers, follow-up (HCPCS code 93321) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $8.41, but hospitals typically charge $67.01 — a 8.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $8.41, your out-of-pocket cost would be approximately $1.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$8.41
Average Hospital Charge
$67.01
Markup Ratio
8.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$67.01
Medicare Allowed$8.41
Medicare Payment$6.55

Hospitals charge 8.0x more than what Medicare allows for this procedure. Medicare actually pays $6.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$24$56649+186.9%
Alaska$19$35054686+122.7%
New York$11$12395012,668+29.7%
New Jersey$10$842201,953+21.6%
California$10$681,31724,417+21.6%
Washington$10$4657614,234+15.7%
Maryland$10$442233,605+14.1%
Louisiana$9$72173974+11.1%
South Carolina$9$1033614,212+10.7%
Texas$9$661,14415,347+8.2%
Florida$9$511,31123,936+8.1%
Wyoming$9$29414282+6.2%
Arizona$9$2013196,623+5.5%
Alabama$9$401481,763+3.1%
North Carolina$9$6774510,898+2.4%
Massachusetts$8$424589,025-1.0%
Oklahoma$8$421392,409-2.0%
Wisconsin$8$15847311,917-2.4%
Virginia$8$445309,508-2.7%
Colorado$8$423506,099-3.7%
Illinois$8$4776214,743-3.8%
Connecticut$8$992384,328-3.9%
Iowa$8$512395,166-4.0%
Mississippi$8$761572,363-4.2%
Georgia$8$406177,657-5.6%
Oregon$8$542175,358-7.5%
Minnesota$8$7650014,359-8.3%
Pennsylvania$8$5695616,694-9.3%
Idaho$8$25991,891-9.6%
New Hampshire$8$127823,224-9.8%
Rhode Island$8$2552197-10.5%
Missouri$7$703797,317-11.3%
West Virginia$7$29911,517-11.7%
Nebraska$7$341232,033-11.8%
Michigan$7$525839,645-12.1%
Ohio$7$6093720,278-12.6%
Delaware$7$113621,384-13.8%
Hawaii$7$8123206-14.0%
Utah$7$261392,573-14.0%
Montana$7$26541,529-14.6%
Kentucky$7$252504,244-15.1%
Nevada$7$2878847-15.2%
North Dakota$7$47743,387-15.6%
District of Columbia$7$13922474-15.9%
Kansas$7$622094,660-16.3%
Arkansas$7$471462,158-16.3%
Tennessee$7$353315,725-16.5%
New Mexico$7$2659745-16.8%
Maine$7$421001,038-17.6%
South Dakota$7$32633,144-18.3%
Vermont$7$4430628-18.3%
Indiana$7$593396,809-18.9%

⚠️ 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