Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast
Medicare pricing data for 5,499 providers across 52 states
Prices vary significantly by location — from $65 in North Dakota to $277 in Iowa. 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
Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast (HCPCS code 0042T) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $205.69, but hospitals typically charge $664.84 — a 3.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $205.69, your out-of-pocket cost would be approximately $41.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $162.76 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Iowa | $277 | $498 | 52 | 366 | +34.6% |
| Kansas | $262 | $670 | 46 | 137 | +27.3% |
| District of Columbia | $255 | $1,213 | 21 | 675 | +24.0% |
| New Jersey | $249 | $790 | 212 | 3,088 | +20.9% |
| Missouri | $237 | $720 | 136 | 556 | +15.1% |
| Maryland | $230 | $945 | 171 | 1,912 | +12.0% |
| Colorado | $228 | $771 | 154 | 1,909 | +10.9% |
| Virginia | $226 | $792 | 127 | 698 | +10.1% |
| Puerto Rico | $225 | $270 | 1 | 21 | +9.5% |
| Pennsylvania | $221 | $970 | 353 | 3,944 | +7.5% |
| New Hampshire | $221 | $515 | 8 | 66 | +7.4% |
| Florida | $219 | $565 | 671 | 9,621 | +6.6% |
| Texas | $216 | $596 | 470 | 5,007 | +5.0% |
| Vermont | $216 | $1,273 | 4 | 13 | +4.8% |
| Rhode Island | $212 | $424 | 5 | 33 | +2.9% |
| West Virginia | $206 | $393 | 26 | 69 | +0.3% |
| New Mexico | $206 | $961 | 29 | 221 | +0.2% |
| Georgia | $206 | $595 | 132 | 630 | -0.0% |
| Mississippi | $205 | $361 | 67 | 769 | -0.6% |
| Louisiana | $204 | $349 | 105 | 830 | -0.8% |
| North Carolina | $203 | $528 | 166 | 756 | -1.2% |
| Tennessee | $203 | $474 | 136 | 637 | -1.2% |
| Indiana | $202 | $401 | 89 | 354 | -1.7% |
| Connecticut | $201 | $611 | 40 | 264 | -2.1% |
| Arkansas | $201 | $767 | 48 | 554 | -2.2% |
| South Carolina | $200 | $798 | 69 | 159 | -2.6% |
| Alabama | $196 | $532 | 70 | 208 | -4.7% |
| Nebraska | $190 | $463 | 27 | 67 | -7.6% |
| Michigan | $190 | $550 | 145 | 514 | -7.7% |
| New York | $185 | $819 | 189 | 1,020 | -9.8% |
| Illinois | $181 | $1,059 | 119 | 575 | -12.1% |
| Minnesota | $180 | $474 | 165 | 893 | -12.4% |
| Maine | $178 | $515 | 10 | 23 | -13.3% |
| Ohio | $178 | $592 | 115 | 371 | -13.6% |
| Kentucky | $176 | $355 | 49 | 206 | -14.7% |
| Oklahoma | $173 | $376 | 94 | 696 | -15.7% |
| Massachusetts | $155 | $861 | 51 | 149 | -24.4% |
| Delaware | $149 | $243 | 21 | 476 | -27.6% |
| Wisconsin | $139 | $714 | 75 | 159 | -32.7% |
| Arizona | $128 | $612 | 94 | 525 | -37.8% |
| Oregon | $116 | $541 | 44 | 116 | -43.4% |
| Washington | $108 | $421 | 84 | 396 | -47.5% |
| Nevada | $106 | $522 | 56 | 190 | -48.3% |
| California | $102 | $579 | 509 | 1,949 | -50.4% |
| Utah | $91 | $533 | 64 | 159 | -55.9% |
| Idaho | $85 | $431 | 53 | 228 | -58.7% |
| Hawaii | $83 | $528 | 16 | 122 | -59.5% |
| Alaska | $79 | $1,838 | 22 | 79 | -61.4% |
| Wyoming | $72 | $177 | 7 | 21 | -65.0% |
| Montana | $66 | $307 | 20 | 49 | -68.1% |
| South Dakota | $65 | $539 | 13 | 21 | -68.6% |
| North Dakota | $65 | $946 | 22 | 50 | -68.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber