70546

Mri scan of blood vessels of head before and after contrast

Medicare pricing data for 6,659 providers across 52 states

🤖AI Overview

This procedure has a 7.5x markup — hospitals charge $1,119 but Medicare allows only $148.40. Uninsured patients may face bills 7.5 times higher than what insurance negotiates. Prices vary significantly by location — from $63 in Mississippi to $344 in Puerto Rico. 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

Mri scan of blood vessels of head before and after contrast (HCPCS code 70546) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $148.40, but hospitals typically charge $1,119 — a 7.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$29.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $148.40, your out-of-pocket cost would be approximately $29.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$148.40
Average Hospital Charge
$1,119
Markup Ratio
7.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,119.23
Medicare Allowed$148.40
Medicare Payment$115.07

Hospitals charge 7.5x more than what Medicare allows for this procedure. Medicare actually pays $115.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$344$350911+132.1%
Nevada$275$1,56658228+85.4%
New Jersey$231$1,468201676+55.5%
New York$228$1,6934621,787+53.9%
California$204$1,5367352,782+37.7%
Florida$201$1,8384401,325+35.7%
Alaska$194$3,5161960+30.6%
Maryland$175$1,073154575+17.6%
Arizona$172$1,208152834+16.1%
Texas$171$1,3724261,441+15.4%
Minnesota$150$1,585228511+0.9%
Colorado$145$826125252-2.4%
Alabama$143$1,00887237-3.9%
Connecticut$138$799105302-7.2%
Tennessee$137$1,141130325-8.0%
Virginia$135$1,262198727-9.4%
Pennsylvania$133$795291806-10.6%
Rhode Island$129$7572573-13.3%
District of Columbia$126$8082148-15.3%
Delaware$122$67834139-17.6%
Arkansas$119$63558156-19.9%
Massachusetts$116$755178426-22.2%
Montana$114$9172137-23.4%
North Carolina$113$816199483-24.0%
Oregon$112$73977172-24.8%
Washington$106$533104415-28.5%
New Hampshire$103$1,5672954-30.3%
South Carolina$102$84098293-31.1%
Georgia$100$621186648-32.8%
Indiana$99$77198249-33.2%
Ohio$97$847217623-34.3%
Illinois$92$7023561,485-38.0%
Kansas$92$41167190-38.1%
Michigan$92$497239669-38.2%
West Virginia$91$6593263-38.6%
Missouri$90$709131473-39.6%
Louisiana$81$42356100-45.7%
Utah$77$5734478-47.9%
Wisconsin$77$1,069171783-48.5%
Nebraska$75$36141161-49.6%
Kentucky$74$40151142-50.2%
Iowa$72$48577637-51.6%
Wyoming$69$4351221-53.3%
North Dakota$69$2821764-53.5%
Vermont$69$353923-53.7%
South Dakota$68$1971349-54.0%
Maine$68$264916-54.0%
Hawaii$68$3371431-54.2%
New Mexico$68$5042054-54.2%
Idaho$67$5172122-54.8%
Oklahoma$67$3114094-54.9%
Mississippi$63$3821732-57.9%

⚠️ 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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