A9552

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries

Medicare pricing data for 3,783 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $107 in Colorado to $528 in Hawaii. 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

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS code A9552) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $318.53, but hospitals typically charge $721.95 — a 2.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$63.71

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $318.53, your out-of-pocket cost would be approximately $63.71. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$318.53
Average Hospital Charge
$721.95
Markup Ratio
2.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$721.95
Medicare Allowed$318.53
Medicare Payment$253.58

Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $253.58 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$528$8563653+65.8%
Rhode Island$519$9001311+63.0%
Massachusetts$511$9215310,086+60.3%
Puerto Rico$510$61010326+60.2%
Maine$503$7208862+57.8%
Montana$500$627274+57.0%
Florida$483$79841437,630+51.7%
Minnesota$475$725982,744+49.0%
Illinois$452$7181217,067+42.0%
New York$434$80629125,101+36.1%
Ohio$433$787602,608+36.0%
Wisconsin$415$721751,979+30.2%
Alaska$391$855191,231+22.9%
District of Columbia$375$4698115+17.8%
New Hampshire$370$46911461+16.2%
North Dakota$358$6501494+12.4%
California$354$86850041,271+11.3%
South Dakota$353$5757561+10.8%
Oregon$352$690341,602+10.5%
Washington$347$659663,356+9.1%
Utah$343$1,19128558+7.6%
Wyoming$327$95512813+2.8%
Idaho$325$999181,093+2.0%
Arizona$321$78621410,289+0.9%
Nevada$305$463964,471-4.1%
Missouri$289$71427978-9.1%
Georgia$262$852221,403-17.7%
South Carolina$255$817342,786-19.9%
Kentucky$254$71216930-20.1%
Connecticut$250$33514765-21.4%
Tennessee$247$617614,134-22.4%
Alabama$245$723626,024-23.1%
North Carolina$241$804421,495-24.3%
New Mexico$196$554251,463-38.4%
Michigan$193$41215445-39.4%
Arkansas$190$721657,517-40.3%
Virginia$186$752354,240-41.5%
Nebraska$181$725231,229-43.0%
New Jersey$180$340998,779-43.4%
Iowa$174$658341,146-45.3%
Kansas$170$665373,402-46.7%
Oklahoma$153$541301,534-52.1%
Indiana$151$672562,520-52.5%
Pennsylvania$151$520846,749-52.7%
Louisiana$149$530222,214-53.2%
Vermont$147$300120-54.0%
Maryland$138$4909913,638-56.8%
Texas$134$57062322,950-58.0%
Mississippi$131$75418886-59.0%
Delaware$130$4463214-59.3%
Colorado$107$659704,598-66.3%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber