70498

Ct scan of blood vessels of neck with contrast

Medicare pricing data for 24,364 providers across 52 states

🤖AI Overview

This procedure has a 5.7x markup — hospitals charge $486.83 but Medicare allows only $85.24. Uninsured patients may face bills 5.7 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 blood vessels of neck with contrast (HCPCS code 70498) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $85.24, but hospitals typically charge $486.83 — a 5.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.05

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $85.24, your out-of-pocket cost would be approximately $17.05. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$85.24
Average Hospital Charge
$486.83
Markup Ratio
5.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$486.83
Medicare Allowed$85.24
Medicare Payment$66.02

Hospitals charge 5.7x more than what Medicare allows for this procedure. Medicare actually pays $66.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$117$9381022,532+37.4%
Puerto Rico$96$37036294+12.3%
New Jersey$95$56158317,651+11.0%
New York$95$4621,22037,931+10.9%
Florida$94$6341,73946,043+10.2%
Maryland$94$45652414,977+10.2%
Nevada$93$7002565,847+9.4%
District of Columbia$93$366632,869+9.0%
California$91$5062,25365,631+7.1%
Arizona$90$73443014,132+5.3%
Wyoming$88$501561,143+3.7%
Connecticut$87$49532410,427+2.0%
Texas$86$6581,64653,938+0.5%
Colorado$85$48046219,214-0.0%
Illinois$85$5251,03430,113-0.5%
Massachusetts$84$35867124,692-0.9%
Washington$84$35049020,599-1.1%
Virginia$84$41561220,797-1.6%
Louisiana$83$4983808,216-2.3%
Rhode Island$83$3821184,860-2.4%
Delaware$83$368712,917-2.9%
Hawaii$82$363841,992-3.3%
North Carolina$82$50380825,560-3.4%
Pennsylvania$82$4001,08032,676-4.0%
Tennessee$82$52273920,649-4.0%
Minnesota$82$46385632,628-4.0%
Montana$82$348932,593-4.2%
Georgia$82$46564520,126-4.2%
North Dakota$82$439952,256-4.3%
Michigan$81$34663523,591-4.9%
Oregon$81$4233479,124-5.1%
New Hampshire$81$6411504,584-5.1%
New Mexico$81$4181413,323-5.2%
Alabama$81$32846110,550-5.4%
South Carolina$81$45837612,919-5.5%
Wisconsin$80$76262014,694-5.9%
Iowa$80$3702775,338-6.0%
Maine$80$352972,586-6.0%
South Dakota$80$273652,388-6.1%
Mississippi$80$4932387,320-6.3%
Kentucky$80$3303108,722-6.3%
Kansas$80$3122186,459-6.4%
Ohio$80$51575222,975-6.5%
Vermont$79$422361,438-7.0%
Missouri$79$40551417,412-7.0%
Utah$79$3142246,625-7.3%
Indiana$79$39744714,465-7.4%
Oklahoma$79$4132558,392-7.6%
West Virginia$78$3731464,181-7.9%
Arkansas$78$3602618,456-8.8%
Nebraska$77$3281675,982-9.1%
Idaho$77$4861324,479-9.7%

⚠️ 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