34713

Exposure of groin artery for delivery of graft

Medicare pricing data for 3,415 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

Exposure of groin artery for delivery of graft (HCPCS code 34713) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $124.21, but hospitals typically charge $620.39 — a 5.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $124.21, your out-of-pocket cost would be approximately $24.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$124.21
Average Hospital Charge
$620.39
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$620.39
Medicare Allowed$124.21
Medicare Payment$99.12

Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $99.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$160$513951+28.9%
Wyoming$145$600515+16.8%
Nevada$141$7082061+13.9%
New York$141$701168663+13.7%
Illinois$141$694133602+13.1%
Mississippi$140$60126126+13.0%
Michigan$139$512104349+12.2%
Maryland$139$43764324+11.7%
Vermont$135$940312+8.9%
Massachusetts$133$72679325+7.0%
Ohio$133$506130452+6.9%
Louisiana$132$67347127+6.5%
New Jersey$132$2,738104369+6.4%
Florida$131$4603041,121+5.2%
Tennessee$129$43882350+3.7%
New Hampshire$129$2,19233119+3.7%
Pennsylvania$128$528177665+3.4%
Oklahoma$127$45640190+2.0%
West Virginia$126$42526102+1.5%
New Mexico$126$5291769+1.2%
Texas$125$525235879+0.9%
South Carolina$124$56070272+0.2%
Kentucky$124$41968350-0.2%
Delaware$124$4061143-0.5%
Georgia$122$526113385-1.5%
Alaska$122$786847-1.5%
Minnesota$120$86255253-3.1%
Iowa$120$46540187-3.3%
Missouri$120$74471288-3.3%
Hawaii$119$3021129-4.5%
California$118$516207813-4.6%
Alabama$118$34132121-4.8%
Kansas$117$94926191-5.9%
Connecticut$117$47746114-6.2%
Indiana$116$49579312-6.7%
Virginia$116$38595398-6.9%
Arkansas$115$35223147-7.1%
Colorado$115$46965283-7.8%
Idaho$114$47727109-7.9%
North Carolina$114$590125500-8.3%
Oregon$112$36950186-10.0%
South Dakota$111$34521106-10.9%
Washington$108$39880371-12.7%
North Dakota$108$4641788-13.0%
Wisconsin$108$1,38586276-13.4%
Arizona$107$40972313-13.5%
Maine$107$4892376-13.7%
Utah$104$39528110-16.0%
Montana$100$3381987-19.8%
Rhode Island$96$4491360-22.4%
Nebraska$85$39826128-31.7%

⚠️ 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

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