93356

Heart muscle strain imaging

Medicare pricing data for 13,424 providers across 52 states

🤖AI Overview

This procedure has a 5.4x markup — hospitals charge $127.32 but Medicare allows only $23.64. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. Prices vary significantly by location — from $11 in Vermont to $40 in Alaska. 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

Heart muscle strain imaging (HCPCS code 93356) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $23.64, but hospitals typically charge $127.32 — a 5.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.73

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $23.64, your out-of-pocket cost would be approximately $4.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$23.64
Average Hospital Charge
$127.32
Markup Ratio
5.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$127.32
Medicare Allowed$23.64
Medicare Payment$18.42

Hospitals charge 5.4x more than what Medicare allows for this procedure. Medicare actually pays $18.42 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$40$18418239+69.7%
Hawaii$39$96252,854+66.3%
Wyoming$36$17310446+53.3%
California$36$13686237,376+50.3%
Rhode Island$35$80461,198+45.9%
Nevada$33$1041032,846+38.9%
New Jersey$32$14047812,817+33.6%
Virginia$31$904509,753+30.4%
Connecticut$30$1411275,109+27.9%
New York$30$15771220,235+26.6%
Oregon$30$191841,139+26.5%
Puerto Rico$29$557163+23.8%
Texas$27$1001,16233,828+12.2%
Florida$26$941,01826,189+9.9%
Mississippi$26$79841,863+9.8%
Georgia$25$13054117,892+5.9%
Louisiana$24$4961624,299+2.2%
Massachusetts$24$10640010,090+1.1%
Arizona$23$1642036,659-2.4%
North Carolina$22$13761116,541-7.1%
Maryland$22$981631,903-7.6%
West Virginia$21$6641982-11.0%
Arkansas$21$2461264,003-12.0%
Washington$21$763435,323-12.5%
Nebraska$20$101941,231-14.0%
Pennsylvania$20$10572420,255-16.5%
Tennessee$20$952524,292-16.8%
South Carolina$20$1311314,369-17.1%
New Mexico$20$5928506-17.3%
Utah$19$871181,954-17.7%
Montana$19$95481,107-18.9%
Idaho$19$5564535-19.0%
Colorado$19$912412,089-20.5%
Missouri$18$16524510,378-24.0%
Wisconsin$18$28736316,532-24.6%
Michigan$18$8044911,815-25.0%
District of Columbia$17$12529764-28.0%
Illinois$16$13165720,869-30.6%
Alabama$16$701429,544-32.2%
Iowa$16$1001251,032-33.0%
Delaware$15$491953-35.5%
Kentucky$15$521724,559-38.3%
South Dakota$14$7443648-39.3%
Kansas$14$601446,731-39.3%
Minnesota$14$2233393,132-39.4%
Oklahoma$14$1601031,749-39.4%
Indiana$14$902444,248-41.8%
Ohio$13$5568313,714-43.8%
Maine$13$80662,752-44.8%
New Hampshire$12$93801,317-51.1%
North Dakota$11$5517203-52.9%
Vermont$11$14826900-53.1%

⚠️ 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