93325

Ultrasound of heart with color-depicted blood flow, rate and valve function

Medicare pricing data for 27,682 providers across 52 states

🤖AI Overview

This procedure has a 16.6x markup — hospitals charge $99.49 but Medicare allows only $6.00. Uninsured patients may face bills 16.6 times higher than what insurance negotiates. Prices vary significantly by location — from $3 in Vermont to $12 in California. 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 with color-depicted blood flow, rate and valve function (HCPCS code 93325) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.00, but hospitals typically charge $99.49 — a 16.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.20

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.00, your out-of-pocket cost would be approximately $1.20. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.00
Average Hospital Charge
$99.49
Markup Ratio
16.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$99.49
Medicare Allowed$6.00
Medicare Payment$4.71

Hospitals charge 16.6x more than what Medicare allows for this procedure. Medicare actually pays $4.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$12$1142,44359,710+105.7%
New York$12$2051,86744,364+102.7%
Alaska$10$393591,268+74.8%
Puerto Rico$9$3740240+49.5%
Rhode Island$8$731101,171+30.5%
Maryland$8$1014348,066+30.2%
Montana$8$57964,124+27.7%
Wyoming$7$33528422+15.7%
Texas$6$1312,04437,971+4.7%
Arizona$6$19458013,764+3.8%
New Jersey$6$1146039,642+1.7%
North Carolina$6$1161,07818,637+0.8%
Washington$6$6769618,160-1.0%
Kansas$6$822888,087-4.0%
Arkansas$5$452547,063-9.7%
Massachusetts$5$6173617,817-15.2%
South Carolina$5$13349310,313-15.8%
Louisiana$5$723314,286-16.7%
Florida$5$632,09046,225-17.7%
Alabama$5$873225,381-20.3%
Utah$5$341944,098-24.7%
Pennsylvania$5$851,52933,086-24.8%
Wisconsin$5$15859615,093-25.0%
Connecticut$4$1713496,546-25.8%
Iowa$4$532576,542-27.5%
Oregon$4$403027,042-28.5%
Georgia$4$7282912,686-28.7%
Virginia$4$5276019,254-28.7%
Minnesota$4$8861517,514-29.2%
Nevada$4$891992,761-29.2%
Michigan$4$7297619,212-29.5%
West Virginia$4$321182,302-29.8%
Missouri$4$10860414,819-30.8%
Colorado$4$444409,061-31.5%
District of Columbia$4$58761,252-32.8%
Delaware$4$258911,970-33.5%
Oklahoma$4$612445,673-36.3%
Illinois$4$821,10627,596-36.7%
Idaho$4$201112,662-37.0%
New Mexico$4$50841,175-37.3%
Mississippi$4$972105,061-38.0%
Nebraska$4$771764,588-39.7%
New Hampshire$4$1481545,802-39.7%
Ohio$4$781,23928,216-41.2%
Hawaii$4$5458819-41.7%
North Dakota$3$28833,476-43.8%
Indiana$3$8858914,876-45.7%
Kentucky$3$373577,544-46.5%
Tennessee$3$7051013,673-47.0%
South Dakota$3$41752,781-48.0%
Maine$3$561192,244-49.8%
Vermont$3$2539932-50.0%

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