93784

Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report

Medicare pricing data for 1,230 providers across 32 states

🤖AI Overview

This procedure has a 7.0x markup — hospitals charge $326.33 but Medicare allows only $46.77. Uninsured patients may face bills 7.0 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report (HCPCS code 93784) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $46.77, but hospitals typically charge $326.33 — a 7.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.35

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $46.77, your out-of-pocket cost would be approximately $9.35. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$46.77
Average Hospital Charge
$326.33
Markup Ratio
7.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$326.33
Medicare Allowed$46.77
Medicare Payment$34.65

Hospitals charge 7.0x more than what Medicare allows for this procedure. Medicare actually pays $34.65 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$52$230127873+10.2%
New York$51$4492351,440+8.9%
New Jersey$49$259116526+5.2%
Massachusetts$49$18050186+4.2%
Connecticut$47$22380253+1.0%
Washington$47$3741124-0.1%
Maryland$46$10519128-0.7%
Colorado$46$106813-2.2%
Rhode Island$45$95738-2.9%
Pennsylvania$45$24651116-3.0%
Oregon$45$2542275-3.7%
Illinois$45$19641189-4.3%
Minnesota$45$53728268-4.7%
Virginia$44$1411854-5.1%
Michigan$44$10925148-6.3%
Texas$44$32046189-6.4%
Nevada$44$97539-6.5%
Florida$43$47670950-7.7%
Arizona$43$42228233-8.2%
Puerto Rico$42$13646205-10.0%
Ohio$42$31929132-10.6%
Utah$42$151414-10.9%
Georgia$42$18023116-11.0%
North Carolina$41$3133279-11.9%
Nebraska$41$138614-12.7%
Wisconsin$41$4671442-13.0%
Alabama$41$771079-13.1%
Kentucky$40$242834-13.4%
Tennessee$40$2081533-13.5%
Kansas$39$141714-15.9%
Oklahoma$38$69147-19.1%
Indiana$36$253812-22.7%

⚠️ 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