93662

Ultrasound evaluation of heart blood vessel with review by radiologist

Medicare pricing data for 3,193 providers across 49 states

🤖AI Overview

This procedure has a 7.4x markup — hospitals charge $537.43 but Medicare allows only $72.80. Uninsured patients may face bills 7.4 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

Ultrasound evaluation of heart blood vessel with review by radiologist (HCPCS code 93662) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $72.80, but hospitals typically charge $537.43 — a 7.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.56

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $72.80, your out-of-pocket cost would be approximately $14.56. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$72.80
Average Hospital Charge
$537.43
Markup Ratio
7.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$537.43
Medicare Allowed$72.80
Medicare Payment$58.15

Hospitals charge 7.4x more than what Medicare allows for this procedure. Medicare actually pays $58.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$98$1,176698+34.3%
Delaware$80$3371024+10.5%
New York$80$7351851,318+9.2%
New Jersey$78$53976411+7.4%
Massachusetts$77$61390703+5.6%
District of Columbia$77$342742+5.4%
California$77$5002512,353+5.3%
Maryland$75$44149225+3.0%
Connecticut$75$60734113+2.6%
Washington$74$30172446+2.3%
Colorado$74$58365433+1.7%
Illinois$74$4921451,240+1.0%
Pennsylvania$73$6351711,125+0.8%
Oregon$73$24233121+0.2%
Rhode Island$73$3861039-0.2%
Nevada$72$35226122-0.7%
Florida$72$4472552,241-0.9%
Maine$72$971155-0.9%
Virginia$72$39796985-1.0%
Texas$72$6312592,891-1.0%
New Hampshire$72$8231699-1.1%
Michigan$72$524111553-1.3%
Vermont$72$446516-1.4%
Minnesota$72$61589599-1.5%
Montana$72$3341487-1.6%
North Dakota$72$435732-1.7%
Indiana$71$45074336-1.9%
Wisconsin$71$1,54660279-2.1%
Georgia$71$55586629-2.4%
Arizona$71$53881617-2.5%
Missouri$71$43867370-2.5%
Nebraska$71$39826178-2.7%
New Mexico$71$32113258-2.9%
Ohio$70$4371371,053-3.2%
Louisiana$70$44031104-3.3%
North Carolina$70$46894941-3.4%
Kansas$70$57232323-3.6%
Oklahoma$70$50430289-3.8%
South Carolina$70$71754823-4.1%
Alabama$70$58445504-4.5%
Iowa$69$74130223-4.6%
South Dakota$69$89539-4.7%
Utah$69$38225136-4.8%
Kentucky$69$29347362-4.9%
West Virginia$69$33320233-5.0%
Mississippi$69$53516200-5.1%
Idaho$69$3721461-5.6%
Tennessee$68$40977609-6.1%
Arkansas$68$30821165-6.3%

⚠️ 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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