49424

Injection of contrast through abdominal cavity tube for x-ray study

Medicare pricing data for 2,716 providers across 45 states

🤖AI Overview

This procedure has a 10.0x markup — hospitals charge $329.77 but Medicare allows only $32.84. Uninsured patients may face bills 10.0 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

Injection of contrast through abdominal cavity tube for x-ray study (HCPCS code 49424) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $32.84, but hospitals typically charge $329.77 — a 10.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.57

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $32.84, your out-of-pocket cost would be approximately $6.57. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$32.84
Average Hospital Charge
$329.77
Markup Ratio
10.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$329.77
Medicare Allowed$32.84
Medicare Payment$25.82

Hospitals charge 10.0x more than what Medicare allows for this procedure. Medicare actually pays $25.82 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$37$367177686+11.3%
District of Columbia$36$2041551+9.7%
New Jersey$36$24582388+9.4%
Illinois$35$3781631,025+6.6%
Virginia$35$31077248+6.4%
Washington$35$32069322+5.9%
Maryland$35$18155200+5.8%
Connecticut$35$45448194+5.5%
Florida$35$501148493+5.1%
Nevada$34$2861445+4.3%
California$34$4462171,023+4.2%
Massachusetts$34$441104346+3.5%
New Hampshire$34$48417138+3.4%
Louisiana$34$19221115+3.3%
Ohio$34$25177202+2.8%
Rhode Island$33$1561071+1.6%
Mississippi$33$1961065+1.1%
Pennsylvania$33$1951881,292+0.9%
Oklahoma$33$9218127+0.7%
Colorado$33$18680272+0.4%
Kentucky$33$1942752+0.2%
South Carolina$33$37722124-0.4%
Oregon$33$4193687-0.5%
North Dakota$33$58414142-0.7%
Texas$33$275158535-0.9%
Vermont$32$95110136-1.1%
Indiana$32$27872287-1.1%
Kansas$32$2262266-1.8%
Michigan$32$14797350-2.0%
Arizona$32$31836212-2.3%
South Dakota$32$42215244-3.2%
North Carolina$32$25183201-3.9%
Georgia$31$3333986-5.1%
Iowa$31$22823366-5.4%
Minnesota$31$35878914-5.4%
Tennessee$31$2304495-5.8%
Alabama$31$3441634-5.9%
Wisconsin$31$64399512-6.4%
New Mexico$31$19726171-6.5%
Nebraska$30$32127320-8.5%
Utah$30$2561338-8.8%
Arkansas$30$22531183-9.8%
Idaho$29$13519134-12.3%
Delaware$29$1251139-12.8%
Missouri$27$24372659-18.0%

⚠️ 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