93888

Ultrasound of within the brain blood flow

Medicare pricing data for 168 providers across 30 states

🤖AI Overview

Prices vary significantly by location — from $23 in Tennessee to $158 in California. Where you get this procedure matters more than almost any other factor. 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

Ultrasound of within the brain blood flow (HCPCS code 93888) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $111.92, but hospitals typically charge $309.16 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$22.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $111.92, your out-of-pocket cost would be approximately $22.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$111.92
Average Hospital Charge
$309.16
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$309.16
Medicare Allowed$111.92
Medicare Payment$87.32

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $87.32 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$158$45410141+40.9%
New Jersey$146$31213313+30.4%
Maryland$141$1,016429+25.9%
Illinois$132$1511141+18.2%
South Carolina$131$181250+16.8%
Nevada$128$31411186+14.3%
Washington$128$3951116+14.1%
New York$127$555331,164+13.7%
Michigan$127$3783205+13.6%
Texas$123$383454+9.9%
Utah$122$390122+8.8%
Colorado$118$224318+5.8%
Alabama$115$216213+2.8%
Louisiana$114$491311+2.3%
Massachusetts$112$437617-0.1%
Florida$98$215413,446-12.0%
Puerto Rico$82$89314-27.2%
District of Columbia$26$94327-76.9%
Pennsylvania$26$17228258-77.0%
Georgia$25$1601024-77.8%
Virginia$25$631591-77.9%
Ohio$24$1372228-78.2%
Arizona$24$971955-78.2%
Minnesota$24$1431017-78.3%
Missouri$24$1371761-78.5%
North Carolina$24$9924189-78.5%
Mississippi$24$43474-78.8%
Indiana$23$932382-79.0%
Oklahoma$23$741361-79.6%
Tennessee$23$911686-79.8%

⚠️ 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