37244

Occlusion of artery or vein bleeding with review by radiologist

Medicare pricing data for 4,001 providers across 51 states

🤖AI Overview

This procedure has a 11.2x markup — hospitals charge $7,130 but Medicare allows only $639.08. Uninsured patients may face bills 11.2 times higher than what insurance negotiates. 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 artery or vein bleeding with review by radiologist (HCPCS code 37244) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $639.08, but hospitals typically charge $7,130 — a 11.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$127.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $639.08, your out-of-pocket cost would be approximately $127.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$639.08
Average Hospital Charge
$7,130
Markup Ratio
11.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$7,130.29
Medicare Allowed$639.08
Medicare Payment$509.64

Hospitals charge 11.2x more than what Medicare allows for this procedure. Medicare actually pays $509.64 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$851$5,707415+33.2%
New York$694$13,143257787+8.6%
Connecticut$675$10,79655123+5.7%
District of Columbia$673$5,5111999+5.4%
Massachusetts$669$2,692104373+4.7%
Illinois$667$5,535177558+4.4%
New Jersey$667$5,823105397+4.4%
Maryland$663$3,10771287+3.8%
California$662$10,7843901,188+3.6%
Florida$660$8,8033061,019+3.3%
Pennsylvania$650$5,980207743+1.7%
Colorado$644$5,20083293+0.8%
Rhode Island$644$5,0532059+0.8%
Louisiana$644$8,70846157+0.8%
Nevada$643$6,81636126+0.6%
Washington$642$3,18389300+0.4%
Puerto Rico$639$2,843512-0.0%
Michigan$638$4,969125369-0.2%
West Virginia$638$2,6991742-0.2%
Delaware$637$2,1851785-0.4%
New Mexico$636$6,6271664-0.4%
Texas$635$6,184277871-0.7%
Oregon$633$2,26356221-0.9%
Georgia$631$9,82198269-1.3%
Ohio$630$5,595137441-1.4%
New Hampshire$629$9,1232086-1.6%
Vermont$626$25,720935-2.1%
Missouri$626$6,94395339-2.1%
Utah$621$4,16639102-2.8%
Minnesota$619$7,60387310-3.2%
North Dakota$618$5,5401857-3.3%
Arizona$618$8,12780259-3.4%
Alabama$617$9,29041162-3.4%
Maine$615$2,4901541-3.8%
Virginia$615$5,687121512-3.8%
North Carolina$610$7,987123469-4.6%
Hawaii$607$1,9901430-5.0%
Kansas$607$2,12929139-5.1%
Mississippi$605$8,7772883-5.4%
Wisconsin$603$11,990103298-5.6%
Kentucky$603$3,03741132-5.6%
Oklahoma$603$3,36342132-5.7%
Idaho$601$3,3912682-6.0%
South Dakota$599$1,9821562-6.2%
Indiana$599$7,47684273-6.3%
Arkansas$598$9,59942132-6.4%
Montana$596$5,0141554-6.7%
Tennessee$592$6,19091374-7.4%
Nebraska$592$7,74119133-7.4%
South Carolina$587$4,92454207-8.1%
Iowa$586$4,59426144-8.4%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber