71270

Ct scan of chest before and after contrast

Medicare pricing data for 14,365 providers across 52 states

🤖AI Overview

This procedure has a 6.4x markup — hospitals charge $620.06 but Medicare allows only $96.73. Uninsured patients may face bills 6.4 times higher than what insurance negotiates. Prices vary significantly by location — from $56 in South Dakota to $145 in Alaska. 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 chest before and after contrast (HCPCS code 71270) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $96.73, but hospitals typically charge $620.06 — a 6.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$19.35

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $96.73, your out-of-pocket cost would be approximately $19.35. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$96.73
Average Hospital Charge
$620.06
Markup Ratio
6.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$620.06
Medicare Allowed$96.73
Medicare Payment$73.36

Hospitals charge 6.4x more than what Medicare allows for this procedure. Medicare actually pays $73.36 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$145$1,1662746+50.3%
California$138$8221,4129,634+43.0%
Puerto Rico$131$17368187+35.7%
Delaware$129$68142153+33.3%
Nevada$129$9252031,024+33.0%
Florida$121$8141,2125,035+25.4%
New York$115$6796932,788+18.4%
New Jersey$114$8144001,273+17.9%
Arizona$113$7063021,181+16.9%
Maryland$111$5393391,696+15.2%
Hawaii$97$6272847+0.8%
Rhode Island$93$55258184-3.6%
Virginia$91$5183381,052-5.4%
New Mexico$91$51182308-6.4%
Texas$90$7701,5479,144-7.2%
Washington$87$462167270-10.1%
South Carolina$80$504224796-17.3%
Wyoming$80$49833155-17.4%
Alabama$80$430262929-17.5%
Georgia$79$5514221,243-18.1%
Illinois$78$4806081,941-18.9%
District of Columbia$78$40256241-19.8%
North Dakota$77$3963653-20.6%
Louisiana$75$5602721,156-22.8%
North Carolina$75$547382985-22.9%
Montana$74$3742771-23.3%
Minnesota$74$4144211,085-23.9%
Idaho$74$51263139-23.9%
Colorado$73$452253660-24.3%
Tennessee$73$5014171,146-24.5%
Connecticut$72$49096217-25.1%
Kansas$71$306123430-26.5%
Oklahoma$70$489171744-27.9%
New Hampshire$70$6504886-28.1%
Pennsylvania$68$3996081,709-29.5%
Michigan$68$3264001,497-30.0%
Massachusetts$68$317238656-30.1%
Missouri$67$3893301,072-30.8%
Indiana$67$369258782-30.8%
Arkansas$66$2931871,050-32.0%
Mississippi$65$542175830-32.7%
Ohio$64$3874151,474-33.8%
Wisconsin$64$622169339-34.2%
Nebraska$62$304130655-35.5%
Oregon$62$256118382-35.9%
Iowa$62$353107283-36.2%
Kentucky$61$390149890-36.7%
Utah$61$26962128-37.3%
West Virginia$57$30792260-40.6%
Vermont$57$3361016-40.6%
Maine$56$3552544-41.7%
South Dakota$56$1972456-41.8%

⚠️ 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