34705

Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist

Medicare pricing data for 4,042 providers across 51 states

🤖AI Overview

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

Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist (HCPCS code 34705) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,143, but hospitals typically charge $4,448 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$228.70

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,143, your out-of-pocket cost would be approximately $228.70. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,143
Average Hospital Charge
$4,448
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$4,447.78
Medicare Allowed$1,143.48
Medicare Payment$910.67

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $910.67 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Vermont$1,360$7,392313+19.0%
Michigan$1,310$3,395134400+14.5%
Wyoming$1,292$6,160714+13.0%
West Virginia$1,284$3,93430102+12.3%
Louisiana$1,252$4,62565181+9.5%
Illinois$1,250$5,916168596+9.4%
Maryland$1,248$3,60572255+9.1%
New York$1,247$5,497211588+9.1%
Ohio$1,224$4,043148475+7.1%
New Jersey$1,210$5,574126382+5.8%
District of Columbia$1,205$3,6261144+5.4%
Massachusetts$1,199$4,90385271+4.8%
Pennsylvania$1,197$4,178198657+4.7%
South Carolina$1,189$4,25080271+4.0%
Connecticut$1,187$4,17253127+3.8%
Virginia$1,181$3,748101338+3.3%
Mississippi$1,171$4,53231125+2.4%
Florida$1,170$4,0893441,149+2.3%
Texas$1,158$4,311308870+1.3%
Rhode Island$1,158$4,2261446+1.2%
Kansas$1,157$3,40627158+1.1%
Nevada$1,145$4,08540112+0.1%
Tennessee$1,145$3,750105403+0.1%
Missouri$1,144$4,26183337+0.1%
New Mexico$1,143$4,3811970-0.1%
Arkansas$1,138$3,71529151-0.5%
Oklahoma$1,117$3,88454217-2.3%
Georgia$1,113$4,328117299-2.7%
Iowa$1,109$4,31039146-3.0%
Arizona$1,103$3,82795380-3.5%
California$1,097$4,315255756-4.0%
Delaware$1,097$3,8021449-4.1%
Kentucky$1,093$3,16271299-4.4%
North Carolina$1,082$4,723136476-5.4%
Alabama$1,079$2,55267201-5.6%
Maine$1,079$3,3732463-5.7%
Alaska$1,065$7,0761040-6.8%
Colorado$1,062$3,81462203-7.1%
Minnesota$1,049$6,26459190-8.3%
Hawaii$1,042$3,5201119-8.9%
New Hampshire$1,038$10,1903590-9.3%
Oregon$1,036$3,70053160-9.4%
Washington$1,029$3,75883287-10.0%
Indiana$1,021$3,550102335-10.7%
Idaho$987$3,6173298-13.7%
North Dakota$983$3,9802290-14.0%
Montana$974$3,0852385-14.8%
South Dakota$969$3,3322595-15.3%
Wisconsin$946$12,480101274-17.3%
Utah$935$3,0062575-18.2%
Nebraska$859$3,17234175-24.9%

⚠️ 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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