70490

Ct scan of soft tissue of neck without contrast

Medicare pricing data for 16,987 providers across 52 states

🤖AI Overview

This procedure has a 5.2x markup — hospitals charge $403.01 but Medicare allows only $76.86. 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 soft tissue of neck without contrast (HCPCS code 70490) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.86, but hospitals typically charge $403.01 — a 5.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.37

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $76.86, your out-of-pocket cost would be approximately $15.37. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$76.86
Average Hospital Charge
$403.01
Markup Ratio
5.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$403.01
Medicare Allowed$76.86
Medicare Payment$58.39

Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $58.39 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$103$604175564+33.7%
Maryland$98$3904451,910+27.2%
Alaska$96$6534193+24.9%
New Jersey$94$4514521,813+22.9%
New York$92$4518903,895+19.6%
Puerto Rico$92$17054102+19.4%
California$92$4671,5955,364+19.1%
Florida$90$5251,3165,325+17.6%
District of Columbia$88$32553274+14.5%
Arizona$85$5163021,108+10.3%
Rhode Island$83$36782202+7.7%
Wyoming$81$4573376+5.0%
Connecticut$77$393211612+0.6%
Maine$75$30760161-2.1%
Texas$75$5101,3715,136-2.7%
Virginia$72$3704641,501-6.0%
Colorado$72$414264758-6.6%
Hawaii$72$2435497-6.8%
Washington$71$313255628-7.5%
Tennessee$71$3775381,950-7.7%
Delaware$70$29159321-8.7%
New Mexico$70$33783228-8.8%
Pennsylvania$70$3257602,299-9.1%
Alabama$69$2663351,006-9.6%
South Carolina$69$405282874-10.0%
Utah$69$24797234-10.0%
Massachusetts$69$2904441,508-10.4%
Oregon$69$325144321-10.7%
North Carolina$69$3895491,653-10.8%
Arkansas$68$325214850-11.2%
Minnesota$68$3515541,519-11.9%
Illinois$68$3647162,415-12.1%
Georgia$67$3605033,080-12.5%
Michigan$67$2854151,392-13.2%
Wisconsin$67$538274660-13.5%
Idaho$66$38157120-14.0%
Vermont$66$3272348-14.4%
Louisiana$66$313255745-14.5%
Kentucky$65$282230824-14.8%
Kansas$65$265181651-14.9%
Ohio$65$3745261,780-16.1%
North Dakota$64$27446101-16.4%
Oklahoma$64$314197647-16.4%
West Virginia$64$328129395-16.8%
Missouri$64$3123671,355-16.9%
New Hampshire$64$42775187-17.3%
Indiana$63$3113001,007-17.7%
Iowa$63$386117249-17.8%
Mississippi$63$342163562-18.2%
Nebraska$61$254125374-20.3%
Montana$60$1974279-21.6%
South Dakota$59$2313195-23.0%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber