72129

Ct scan of middle spine with contrast

Medicare pricing data for 8,575 providers across 52 states

🤖AI Overview

This procedure has a 5.7x markup — hospitals charge $340.18 but Medicare allows only $59.35. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. Prices vary significantly by location — from $53 in Nebraska to $113 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 middle spine with contrast (HCPCS code 72129) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $59.35, but hospitals typically charge $340.18 — a 5.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.87

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $59.35, your out-of-pocket cost would be approximately $11.87. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$59.35
Average Hospital Charge
$340.18
Markup Ratio
5.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$340.18
Medicare Allowed$59.35
Medicare Payment$46.33

Hospitals charge 5.7x more than what Medicare allows for this procedure. Medicare actually pays $46.33 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$113$9742867+90.1%
Nevada$71$61292217+19.3%
Texas$66$4676852,750+11.0%
New York$65$3244461,911+8.9%
California$65$4187052,288+8.7%
Washington$64$273193599+8.5%
Oregon$63$38883240+6.2%
New Jersey$62$272179946+4.3%
Georgia$62$374208672+4.2%
Indiana$61$396124263+3.4%
Minnesota$60$4503141,228+1.8%
Florida$60$4035452,024+1.3%
Maryland$60$2771821,293+1.0%
Tennessee$60$4422942,357+1.0%
District of Columbia$60$34130120+0.6%
Connecticut$59$251183882-0.7%
Illinois$59$437290939-1.1%
Massachusetts$58$2492592,415-1.9%
New Hampshire$58$4942656-2.4%
Rhode Island$58$26257211-2.8%
Missouri$58$3592181,056-2.9%
Virginia$58$2762471,332-3.1%
Maine$57$2231315-3.7%
Alabama$57$230150726-3.9%
Colorado$57$306157617-4.0%
Delaware$57$20220135-4.2%
Pennsylvania$57$2143993,416-4.7%
Arkansas$56$24778210-5.0%
Wyoming$56$2661423-5.1%
Michigan$56$2503542,058-5.1%
Hawaii$56$41226101-5.2%
Puerto Rico$56$235529-5.2%
Ohio$56$2903531,156-5.3%
Louisiana$56$293103250-5.5%
Arizona$56$6311831,746-5.5%
New Mexico$56$30426137-5.6%
South Dakota$56$2081831-5.7%
South Carolina$56$292118318-5.9%
North Carolina$56$2683431,811-5.9%
Utah$56$18548104-6.2%
North Dakota$56$4321445-6.2%
Vermont$55$308820-6.5%
Montana$55$27732108-6.7%
West Virginia$55$29347140-7.9%
Kentucky$55$20499397-8.0%
Kansas$54$19875212-8.3%
Iowa$54$3064572-8.4%
Idaho$54$3283484-8.6%
Mississippi$54$29244105-8.7%
Wisconsin$54$554132390-9.4%
Oklahoma$53$2031181,186-10.6%
Nebraska$53$19654307-11.3%

⚠️ 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