27369

Injection of contrast for imaging of knee joint

Medicare pricing data for 1,730 providers across 42 states

🤖AI Overview

Prices vary significantly by location — from $36 in Arkansas to $236 in Illinois. 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 knee joint (HCPCS code 27369) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $181.86, but hospitals typically charge $509.45 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$36.37

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $181.86, your out-of-pocket cost would be approximately $36.37. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$181.86
Average Hospital Charge
$509.45
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$509.45
Medicare Allowed$181.86
Medicare Payment$140.59

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $140.59 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Illinois$236$960781,892+29.9%
Connecticut$226$25710231+24.1%
Delaware$220$398417+21.2%
New York$216$596802,187+18.5%
California$205$5711532,036+12.8%
New Jersey$203$91544313+11.5%
Arizona$188$90729110+3.1%
Nevada$177$5392952-2.7%
Florida$176$4551792,389-3.0%
Utah$176$2945109-3.2%
Pennsylvania$172$36368294-5.6%
Maine$167$384299-8.0%
North Carolina$166$50662221-8.9%
New Hampshire$165$403253-9.3%
Indiana$161$36431117-11.3%
Missouri$161$38749664-11.3%
Texas$161$3771471,200-11.6%
Michigan$160$42747402-11.9%
Oregon$160$4261122-12.2%
Colorado$159$30829207-12.5%
Georgia$159$366981,688-12.7%
South Carolina$158$39136221-13.1%
Washington$158$41850282-13.2%
Virginia$154$45944213-15.6%
Minnesota$151$4263660-16.9%
Alabama$151$38820168-17.2%
New Mexico$149$318327-18.2%
Kansas$148$37110108-18.4%
Iowa$147$2796119-19.2%
Nebraska$146$2728280-19.9%
Massachusetts$144$34835191-20.7%
Idaho$143$308443-21.2%
Maryland$142$29229151-22.1%
Tennessee$138$24034346-24.2%
Ohio$132$41643133-27.2%
Oklahoma$129$33230276-29.0%
Louisiana$127$3461944-30.0%
Kentucky$120$30924102-34.2%
Wisconsin$118$6462039-35.0%
Mississippi$96$2921736-47.4%
West Virginia$38$1591012-79.2%
Arkansas$36$160914-80.2%

⚠️ 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