70492

Ct scan of soft tissue of neck before and after contrast

Medicare pricing data for 8,139 providers across 51 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $679.32 but Medicare allows only $133.29. Uninsured patients may face bills 5.1 times higher than what insurance negotiates. Prices vary significantly by location — from $76 in Montana to $182 in California. 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

Ct scan of soft tissue of neck before and after contrast (HCPCS code 70492) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $133.29, but hospitals typically charge $679.32 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.66

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $133.29, your out-of-pocket cost would be approximately $26.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$133.29
Average Hospital Charge
$679.32
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$679.32
Medicare Allowed$133.29
Medicare Payment$102.11

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $102.11 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$182$9057513,220+36.5%
Maryland$182$749200571+36.4%
Puerto Rico$175$2593763+30.9%
Nevada$172$852102301+28.9%
New York$168$8194321,934+25.9%
New Jersey$164$724219616+23.0%
Florida$162$8956252,058+21.6%
Arizona$142$672161512+6.4%
Washington$141$613125284+5.8%
District of Columbia$139$5162265+4.1%
Texas$135$8547302,260+1.4%
Virginia$126$756213598-5.5%
Wyoming$124$3232147-6.8%
Connecticut$121$53877258-9.3%
Rhode Island$121$4752648-9.6%
Minnesota$119$629224440-10.6%
Colorado$115$558123307-13.6%
Oregon$114$49876193-14.7%
Georgia$112$564206496-15.7%
Wisconsin$111$1,058164376-16.4%
Delaware$109$40634104-18.2%
Pennsylvania$108$501324682-18.8%
Kansas$107$41391192-19.5%
New Mexico$107$4773487-19.6%
Illinois$107$6033511,020-19.7%
South Dakota$106$44544110-20.3%
South Carolina$106$634147371-20.8%
Tennessee$105$566244529-21.2%
Massachusetts$104$475173601-22.1%
North Carolina$103$584237568-22.5%
Alabama$103$421182474-22.7%
Utah$101$30056168-24.1%
Louisiana$100$469166642-25.2%
Maine$100$3882587-25.2%
Alaska$99$4731015-25.8%
Michigan$97$417199397-27.5%
North Dakota$95$2991833-29.0%
Indiana$94$426134324-29.7%
Ohio$93$439204429-30.4%
Missouri$92$415195509-31.0%
Iowa$90$51573153-32.1%
Kentucky$90$48095276-32.7%
Oklahoma$89$42688240-33.6%
West Virginia$85$39362130-36.1%
New Hampshire$84$6174093-36.6%
Mississippi$82$42997252-38.5%
Hawaii$79$3111215-40.5%
Idaho$79$4723489-40.9%
Nebraska$78$28191257-41.2%
Arkansas$78$35386211-41.8%
Montana$76$2032068-42.9%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber