70487

Ct scan of face with contrast

Medicare pricing data for 12,793 providers across 52 states

🤖AI Overview

This procedure has a 6.0x markup — hospitals charge $359.80 but Medicare allows only $60.39. Uninsured patients may face bills 6.0 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

Ct scan of face with contrast (HCPCS code 70487) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $60.39, but hospitals typically charge $359.80 — a 6.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.08

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $60.39, your out-of-pocket cost would be approximately $12.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$60.39
Average Hospital Charge
$359.80
Markup Ratio
6.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$359.80
Medicare Allowed$60.39
Medicare Payment$45.07

Hospitals charge 6.0x more than what Medicare allows for this procedure. Medicare actually pays $45.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$79$6113882+31.5%
New Jersey$69$396316728+14.7%
Maryland$67$306274831+10.9%
New York$67$3906972,149+10.6%
Arizona$65$540245717+8.2%
Nevada$65$510103212+7.9%
District of Columbia$65$25238134+7.9%
California$65$4051,1443,094+7.7%
Florida$65$4408862,518+7.1%
Washington$63$273247742+5.0%
Connecticut$62$326182401+3.1%
Rhode Island$62$26670156+2.2%
Minnesota$62$4005121,190+2.2%
Virginia$61$390350789+1.5%
Hawaii$61$3344683+0.5%
Colorado$61$362238712+0.2%
Texas$60$4549142,277-0.0%
Tennessee$60$380344787-0.2%
Massachusetts$59$2684261,334-1.7%
Alabama$59$273211388-2.3%
Georgia$59$350319639-2.5%
Oregon$59$271156334-2.5%
Wisconsin$58$568269508-4.1%
North Carolina$58$3474521,152-4.2%
North Dakota$58$34145100-4.6%
Maine$57$23662137-5.1%
Illinois$57$3654911,160-5.4%
Arkansas$57$253109217-5.6%
South Carolina$56$349185417-6.8%
New Mexico$56$27281196-6.9%
Delaware$56$23237134-7.7%
Iowa$56$293141312-7.9%
Utah$56$208102243-8.0%
Pennsylvania$55$2905881,597-8.1%
Kentucky$55$270136293-8.7%
Louisiana$55$294177378-9.0%
Michigan$55$2663961,234-9.2%
Missouri$55$293282642-9.3%
New Hampshire$55$50084250-9.5%
Kansas$55$220117262-9.5%
Nebraska$54$25795241-11.2%
Montana$53$20550101-11.6%
Ohio$53$330401885-11.7%
Indiana$53$273223567-12.6%
Wyoming$53$2762448-13.0%
Mississippi$52$291109236-13.5%
Vermont$52$2901939-13.5%
South Dakota$52$2193074-14.4%
Idaho$52$26155117-14.4%
West Virginia$51$25277155-14.8%
Puerto Rico$51$1651323-14.9%
Oklahoma$51$261126275-15.2%

⚠️ 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