Occlusion of growths or obstructed vessels with review by radiologist
Medicare pricing data for 2,588 providers across 50 states
This procedure has a 5.8x markup — hospitals charge $14,282 but Medicare allows only $2,454. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. Prices vary significantly by location — from $474 in West Virginia to $5,911 in Virginia. 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
Occlusion of growths or obstructed vessels with review by radiologist (HCPCS code 37243) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2,454, but hospitals typically charge $14,282 — a 5.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2,454, your out-of-pocket cost would be approximately $490.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $1,955 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Virginia | $5,911 | $18,739 | 82 | 858 | +140.9% |
| Massachusetts | $4,668 | $14,436 | 73 | 628 | +90.2% |
| Arizona | $4,011 | $17,019 | 60 | 471 | +63.5% |
| New York | $3,854 | $24,059 | 196 | 1,327 | +57.1% |
| New Mexico | $3,810 | $20,186 | 21 | 103 | +55.3% |
| North Carolina | $3,640 | $19,199 | 89 | 756 | +48.3% |
| New Jersey | $3,058 | $12,377 | 75 | 353 | +24.6% |
| Texas | $2,894 | $11,296 | 191 | 1,001 | +17.9% |
| Colorado | $2,846 | $12,963 | 62 | 356 | +16.0% |
| Arkansas | $2,729 | $15,754 | 23 | 138 | +11.2% |
| Missouri | $2,728 | $13,556 | 56 | 413 | +11.2% |
| Illinois | $2,657 | $8,805 | 115 | 612 | +8.3% |
| Kentucky | $2,547 | $6,572 | 27 | 172 | +3.8% |
| Pennsylvania | $2,521 | $14,598 | 129 | 1,196 | +2.7% |
| Tennessee | $2,421 | $16,752 | 53 | 435 | -1.3% |
| Mississippi | $2,294 | $15,117 | 10 | 85 | -6.5% |
| Indiana | $2,139 | $10,159 | 50 | 239 | -12.8% |
| Oklahoma | $2,045 | $11,437 | 32 | 180 | -16.7% |
| Washington | $1,835 | $7,908 | 66 | 272 | -25.2% |
| Michigan | $1,702 | $5,946 | 79 | 304 | -30.7% |
| Florida | $1,354 | $10,302 | 185 | 1,178 | -44.8% |
| Minnesota | $1,240 | $15,669 | 46 | 187 | -49.5% |
| California | $1,239 | $24,973 | 256 | 1,441 | -49.5% |
| Maryland | $1,151 | $4,102 | 45 | 355 | -53.1% |
| Oregon | $1,000 | $4,617 | 49 | 280 | -59.2% |
| Georgia | $802 | $15,163 | 60 | 273 | -67.3% |
| Alaska | $735 | $7,288 | 4 | 29 | -70.0% |
| Nebraska | $627 | $6,960 | 15 | 87 | -74.5% |
| District of Columbia | $583 | $7,894 | 10 | 55 | -76.2% |
| Connecticut | $571 | $3,996 | 22 | 108 | -76.7% |
| Rhode Island | $560 | $8,563 | 9 | 41 | -77.2% |
| Vermont | $556 | $35,147 | 7 | 29 | -77.3% |
| Delaware | $552 | $1,840 | 10 | 68 | -77.5% |
| Montana | $551 | $2,734 | 10 | 57 | -77.5% |
| Nevada | $549 | $5,071 | 17 | 70 | -77.6% |
| Hawaii | $547 | $1,713 | 8 | 20 | -77.7% |
| Louisiana | $546 | $16,184 | 27 | 207 | -77.7% |
| Ohio | $542 | $5,955 | 70 | 299 | -77.9% |
| New Hampshire | $540 | $8,544 | 12 | 34 | -78.0% |
| Maine | $538 | $1,927 | 7 | 16 | -78.1% |
| Utah | $532 | $14,756 | 17 | 66 | -78.3% |
| North Dakota | $531 | $4,936 | 10 | 34 | -78.4% |
| South Carolina | $528 | $5,794 | 31 | 231 | -78.5% |
| Alabama | $518 | $4,135 | 19 | 136 | -78.9% |
| Idaho | $516 | $4,235 | 13 | 55 | -79.0% |
| Wisconsin | $515 | $11,584 | 63 | 271 | -79.0% |
| South Dakota | $515 | $1,392 | 8 | 52 | -79.0% |
| Iowa | $511 | $9,884 | 19 | 100 | -79.2% |
| Kansas | $502 | $2,890 | 17 | 111 | -79.5% |
| West Virginia | $474 | $1,819 | 8 | 45 | -80.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber