70480

Ct scan of cranial cavity without contrast

Medicare pricing data for 14,226 providers across 52 states

🤖AI Overview

This procedure has a 5.2x markup — hospitals charge $501.83 but Medicare allows only $95.86. Uninsured patients may face bills 5.2 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

Ct scan of cranial cavity without contrast (HCPCS code 70480) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $95.86, but hospitals typically charge $501.83 — a 5.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$19.17

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $95.86, your out-of-pocket cost would be approximately $19.17. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$95.86
Average Hospital Charge
$501.83
Markup Ratio
5.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$501.83
Medicare Allowed$95.86
Medicare Payment$72.59

Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $72.59 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$122$676122516+27.8%
Rhode Island$122$61854169+26.8%
New Jersey$121$5834061,695+25.9%
Alaska$120$1,00041143+25.7%
California$117$6251,3205,716+22.5%
Florida$117$5801,0925,480+21.7%
Maryland$117$5103831,802+21.6%
Puerto Rico$116$1603955+21.4%
Arizona$111$7112391,256+16.2%
New York$110$5557583,684+15.0%
Wyoming$108$3592661+12.7%
Georgia$106$6013921,626+10.5%
Montana$101$46046169+5.4%
Colorado$101$5062601,018+5.3%
Texas$100$6659693,951+4.5%
District of Columbia$100$38743244+3.8%
Connecticut$98$463194590+1.9%
Alabama$98$323238737+1.9%
Washington$98$4472931,002+1.8%
Hawaii$94$32950130-2.5%
New Mexico$92$47463263-4.2%
Kansas$90$437142592-5.9%
Utah$90$339121397-6.5%
South Carolina$88$494237998-7.8%
North Carolina$88$4674921,691-7.9%
Virginia$87$5003651,505-8.9%
Tennessee$86$5013621,380-9.9%
Minnesota$84$4395091,543-12.4%
Pennsylvania$82$3826512,486-14.3%
Indiana$81$384230815-15.7%
Oregon$80$367149730-16.3%
Kentucky$80$467162459-16.4%
Mississippi$80$399105318-16.9%
Maine$79$36559271-17.2%
Illinois$79$4276182,193-17.3%
South Dakota$79$32748168-17.5%
Iowa$79$453131510-18.0%
Idaho$77$40968169-19.9%
Missouri$75$3822891,264-21.9%
Louisiana$75$386233886-21.9%
Wisconsin$74$716289898-22.4%
Delaware$73$29550407-23.7%
Massachusetts$73$3114071,954-23.9%
New Hampshire$73$63286349-24.4%
Nebraska$72$327100401-25.0%
Arkansas$72$318121487-25.2%
North Dakota$71$33441140-26.2%
West Virginia$71$34691232-26.4%
Michigan$70$2953931,546-27.5%
Ohio$68$3504671,615-29.3%
Oklahoma$67$338150460-29.9%
Vermont$62$2951972-34.8%

⚠️ 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