23350

Injection of contrast for imaging of shoulder joint

Medicare pricing data for 6,715 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $47 in West Virginia to $173 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

Injection of contrast for imaging of shoulder joint (HCPCS code 23350) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $109.32, but hospitals typically charge $480.83 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.86

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $109.32, your out-of-pocket cost would be approximately $21.86. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$109.32
Average Hospital Charge
$480.83
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$480.83
Medicare Allowed$109.32
Medicare Payment$85.16

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $85.16 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$173$499721+58.3%
New Jersey$162$647143458+48.3%
Connecticut$158$40673258+44.9%
Alaska$152$72032173+38.7%
New York$150$400211804+37.2%
California$144$6885202,186+32.1%
Florida$141$4774432,011+28.9%
District of Columbia$134$4841848+22.2%
Maryland$133$48193229+21.6%
Arizona$130$703111398+18.6%
Washington$127$4562381,088+16.2%
Illinois$121$5123121,003+10.4%
Texas$113$4914992,401+3.6%
Nevada$112$47572185+2.0%
Delaware$110$3511425+0.9%
Iowa$110$470117417+0.9%
Rhode Island$110$4852236+0.7%
Alabama$104$456178760-4.5%
Georgia$104$575277936-4.6%
Colorado$104$445118309-4.8%
Louisiana$99$461107454-9.5%
Minnesota$97$562155366-11.5%
Massachusetts$95$389127402-12.9%
Tennessee$95$390158412-13.1%
Kentucky$94$37370211-13.8%
Utah$90$275103277-17.6%
North Carolina$89$415258764-18.3%
Kansas$88$30499283-19.6%
New Hampshire$88$38049163-19.8%
Oregon$87$377110208-20.6%
Pennsylvania$84$293246566-23.3%
South Carolina$83$353113440-23.8%
Virginia$81$494195638-25.6%
Michigan$81$362160407-26.2%
Nebraska$80$41754204-26.6%
Missouri$80$328192566-26.8%
Mississippi$78$60175245-28.8%
Indiana$77$442150381-29.9%
Maine$75$2412754-31.8%
Wyoming$73$4311990-33.2%
Idaho$70$37089376-36.0%
Wisconsin$67$809172402-38.5%
Ohio$67$410169308-38.8%
Oklahoma$67$56279344-38.9%
Montana$58$21638192-46.8%
Arkansas$54$22881352-50.3%
New Mexico$49$3632029-55.0%
North Dakota$49$6561221-55.3%
Vermont$48$6141123-56.0%
South Dakota$48$3362271-56.5%
West Virginia$47$2473871-57.1%

⚠️ 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