Ct scan of upper spine with contrast
Medicare pricing data for 6,786 providers across 50 states
This procedure has a 6.0x markup — hospitals charge $381.46 but Medicare allows only $64.07. Uninsured patients may face bills 6.0 times higher than what insurance negotiates. Prices vary significantly by location — from $53 in Iowa to $137 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 upper spine with contrast (HCPCS code 72126) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $64.07, but hospitals typically charge $381.46 — a 6.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $64.07, your out-of-pocket cost would be approximately $12.81. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.0x more than what Medicare allows for this procedure. Medicare actually pays $49.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $137 | $1,539 | 21 | 84 | +114.1% |
| New Jersey | $82 | $447 | 118 | 197 | +28.5% |
| Tennessee | $79 | $574 | 188 | 469 | +23.0% |
| Nevada | $76 | $560 | 57 | 90 | +18.6% |
| Texas | $72 | $532 | 564 | 1,738 | +12.1% |
| Arizona | $71 | $519 | 121 | 266 | +10.5% |
| New York | $70 | $362 | 337 | 734 | +10.0% |
| California | $70 | $444 | 522 | 1,059 | +9.5% |
| Washington | $68 | $301 | 167 | 359 | +6.2% |
| Utah | $68 | $281 | 47 | 84 | +5.6% |
| Georgia | $67 | $440 | 209 | 569 | +4.6% |
| Minnesota | $67 | $594 | 206 | 418 | +4.3% |
| Nebraska | $66 | $313 | 68 | 125 | +3.4% |
| Florida | $66 | $469 | 463 | 974 | +2.7% |
| Oregon | $66 | $336 | 78 | 185 | +2.4% |
| Oklahoma | $64 | $382 | 85 | 185 | -0.7% |
| Alabama | $63 | $332 | 139 | 316 | -0.9% |
| Connecticut | $63 | $309 | 82 | 182 | -1.7% |
| North Carolina | $62 | $407 | 293 | 689 | -3.9% |
| Illinois | $62 | $387 | 226 | 429 | -4.0% |
| Maryland | $61 | $285 | 148 | 869 | -5.1% |
| District of Columbia | $60 | $199 | 18 | 66 | -5.9% |
| Missouri | $60 | $328 | 179 | 582 | -5.9% |
| Colorado | $59 | $318 | 122 | 261 | -7.4% |
| Kansas | $58 | $226 | 79 | 182 | -9.1% |
| Pennsylvania | $58 | $242 | 314 | 960 | -9.7% |
| Rhode Island | $58 | $300 | 20 | 35 | -9.7% |
| Virginia | $58 | $281 | 201 | 585 | -9.8% |
| Massachusetts | $58 | $251 | 160 | 445 | -9.9% |
| South Carolina | $58 | $298 | 125 | 320 | -10.2% |
| Ohio | $57 | $332 | 232 | 489 | -10.3% |
| Indiana | $57 | $319 | 122 | 454 | -10.5% |
| Montana | $57 | $181 | 26 | 49 | -11.2% |
| New Hampshire | $57 | $616 | 24 | 39 | -11.5% |
| Michigan | $57 | $255 | 260 | 844 | -11.6% |
| New Mexico | $56 | $263 | 19 | 33 | -11.9% |
| Delaware | $56 | $234 | 18 | 31 | -12.2% |
| Wyoming | $56 | $328 | 17 | 33 | -12.4% |
| Maine | $56 | $197 | 13 | 18 | -12.7% |
| Arkansas | $56 | $232 | 109 | 243 | -13.0% |
| South Dakota | $55 | $168 | 16 | 34 | -13.9% |
| West Virginia | $55 | $325 | 33 | 67 | -14.5% |
| Hawaii | $55 | $250 | 17 | 21 | -14.6% |
| Louisiana | $55 | $304 | 117 | 310 | -14.8% |
| Idaho | $54 | $353 | 39 | 95 | -15.0% |
| North Dakota | $54 | $519 | 10 | 33 | -15.9% |
| Wisconsin | $54 | $538 | 114 | 207 | -16.0% |
| Kentucky | $53 | $223 | 70 | 242 | -16.9% |
| Mississippi | $53 | $276 | 54 | 148 | -17.4% |
| Iowa | $53 | $287 | 44 | 75 | -17.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber