27093

Injection of contrast for imaging of hip joint

Medicare pricing data for 1,743 providers across 47 states

🤖AI Overview

Prices vary significantly by location — from $61 in West Virginia to $279 in Alaska. 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

Injection of contrast for imaging of hip joint (HCPCS code 27093) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $240.41, but hospitals typically charge $904.28 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$48.08

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $240.41, your out-of-pocket cost would be approximately $48.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$240.41
Average Hospital Charge
$904.28
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$904.28
Medicare Allowed$240.41
Medicare Payment$186.15

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $186.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$279$1,4081139+16.2%
New Jersey$266$1,49977588+10.6%
California$266$883211965+10.6%
Connecticut$257$80142683+7.0%
Maryland$255$75440515+6.0%
Delaware$253$2,121872+5.4%
Colorado$249$7594587+3.4%
New York$246$1,02797753+2.4%
Illinois$244$85179339+1.4%
Florida$244$8991471,260+1.4%
Washington$243$74387314+1.1%
Massachusetts$238$1,43722251-0.9%
Virginia$236$80466499-1.7%
Arizona$235$1,3973490-2.4%
Minnesota$232$8902761-3.4%
New Hampshire$230$9241530-4.4%
Texas$228$637120761-5.1%
Oregon$225$6062845-6.5%
Nevada$223$73632122-7.3%
North Carolina$222$82671524-7.7%
Kansas$221$8292277-8.0%
South Carolina$221$7652194-8.1%
Alabama$220$6652782-8.4%
Kentucky$219$1,62618140-8.8%
Indiana$219$8721985-8.8%
Utah$219$5731937-9.0%
Wisconsin$217$9322754-9.5%
Pennsylvania$217$66047244-9.7%
Tennessee$215$70436145-10.7%
Louisiana$214$72923122-10.8%
New Mexico$213$570738-11.3%
Missouri$211$72731117-12.1%
Idaho$208$5551322-13.5%
Michigan$207$7461945-13.7%
Oklahoma$207$707825-14.0%
Iowa$202$7352564-16.0%
Georgia$192$91254136-20.0%
Mississippi$188$1,1811115-21.7%
Ohio$182$8412248-24.1%
Arkansas$130$399617-45.9%
Vermont$70$397714-70.9%
Wyoming$67$343567-72.3%
South Dakota$64$3331641-73.2%
North Dakota$64$646812-73.6%
Maine$62$2461115-74.1%
Nebraska$62$6001825-74.1%
West Virginia$61$3321726-74.4%

⚠️ 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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