37252

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel

Medicare pricing data for 5,873 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $81 in North Dakota to $995 in New York. 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

Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS code 37252) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $734.62, but hospitals typically charge $2,655 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$146.92

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $734.62, your out-of-pocket cost would be approximately $146.92. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$734.62
Average Hospital Charge
$2,655
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,654.95
Medicare Allowed$734.62
Medicare Payment$585.86

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $585.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$995$3,5243475,906+35.5%
Connecticut$963$5,603791,394+31.0%
New Jersey$952$2,8982033,775+29.7%
Maryland$922$2,3831133,513+25.5%
Alaska$900$5,504992+22.5%
California$860$2,92351011,631+17.0%
Hawaii$810$2,26412242+10.3%
Massachusetts$807$3,694971,233+9.9%
Virginia$751$2,8111712,055+2.2%
District of Columbia$750$1,83022418+2.1%
Michigan$740$2,4272573,107+0.7%
Florida$732$2,1355666,659-0.3%
Arizona$707$2,2072002,199-3.7%
Tennessee$675$2,0511191,536-8.1%
Texas$665$2,7635866,636-9.5%
South Dakota$664$2,87530619-9.6%
Georgia$654$2,8771832,149-10.9%
Indiana$648$2,2301191,984-11.7%
Utah$644$2,22242332-12.4%
South Carolina$631$2,295911,059-14.1%
Delaware$603$2,19021157-17.9%
North Carolina$594$2,6571821,963-19.2%
Illinois$578$3,0062181,951-21.4%
Alabama$573$1,515109974-22.0%
Nevada$548$1,60347432-25.4%
Mississippi$544$2,69453523-26.0%
Iowa$534$2,51639288-27.3%
Louisiana$528$2,298120958-28.1%
Wisconsin$527$2,44379362-28.2%
Kentucky$524$1,87860444-28.7%
Colorado$509$1,974125710-30.7%
Oklahoma$487$2,53872847-33.7%
Pennsylvania$486$1,4252061,505-33.8%
Oregon$484$1,77573553-34.2%
Rhode Island$479$3,4291193-34.8%
Kansas$457$1,44348502-37.8%
New Hampshire$448$2,8661977-39.1%
Maine$443$1,4611537-39.6%
Arkansas$440$1,72646510-40.1%
Nebraska$426$2,11626306-42.0%
Missouri$419$2,490119737-43.0%
Ohio$411$1,833155956-44.1%
Idaho$405$1,61623128-44.9%
Minnesota$384$3,97069335-47.7%
Washington$371$1,65494398-49.5%
Wyoming$311$1,0941081-57.6%
New Mexico$293$1,66922259-60.2%
West Virginia$250$1,36227146-66.0%
Montana$86$6271274-88.2%
North Dakota$81$1,610917-88.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber