93890

Ultrasound of within the brain blood flow following medication

Medicare pricing data for 526 providers across 24 states

🤖AI Overview

Prices vary significantly by location — from $49 in Minnesota to $323 in Colorado. 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 within the brain blood flow following medication (HCPCS code 93890) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $252.83, but hospitals typically charge $491.06 — a 1.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$50.57

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $252.83, your out-of-pocket cost would be approximately $50.57. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$252.83
Average Hospital Charge
$491.06
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$491.06
Medicare Allowed$252.83
Medicare Payment$200.87

Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $200.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Colorado$323$4511155+27.8%
California$284$650254,306+12.2%
South Carolina$279$3581784+10.5%
New Jersey$268$498512,648+6.1%
Connecticut$265$4822199+4.8%
New York$264$48724222,052+4.3%
Maryland$264$5728961+4.2%
District of Columbia$260$6251317+2.8%
Louisiana$242$491111,391-4.4%
Pennsylvania$238$4345350-6.0%
Illinois$230$5293181-9.1%
Florida$216$467251,008-14.5%
Nebraska$216$500112-14.6%
Texas$215$484521,305-14.9%
Arkansas$213$500215-15.8%
Arizona$213$529461-15.9%
Oklahoma$200$400192-20.7%
North Carolina$197$403111,270-22.3%
Alabama$177$36210479-30.0%
Georgia$121$2637355-52.1%
Ohio$109$1868344-57.0%
Washington$54$131518-78.6%
Massachusetts$53$290511-79.0%
Minnesota$49$1655503-80.6%

⚠️ 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