73701

Ct scan of leg with contrast material

Medicare pricing data for 14,788 providers across 52 states

🤖AI Overview

This procedure has a 5.3x markup — hospitals charge $317.15 but Medicare allows only $59.82. Uninsured patients may face bills 5.3 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 leg with contrast material (HCPCS code 73701) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $59.82, but hospitals typically charge $317.15 — a 5.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.96

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $59.82, your out-of-pocket cost would be approximately $11.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$59.82
Average Hospital Charge
$317.15
Markup Ratio
5.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$317.15
Medicare Allowed$59.82
Medicare Payment$46.21

Hospitals charge 5.3x more than what Medicare allows for this procedure. Medicare actually pays $46.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$81$49252198+34.7%
New Jersey$66$3943761,222+10.6%
Maryland$66$2713481,612+10.2%
District of Columbia$65$27945229+9.1%
California$65$3791,3975,376+9.0%
Florida$65$3788913,229+8.8%
New York$65$3188003,296+8.3%
Nevada$63$414125347+5.9%
Connecticut$63$288206650+5.5%
Puerto Rico$62$2201333+3.8%
Arizona$61$4072601,098+2.4%
Washington$61$2353231,556+2.3%
Hawaii$61$25361168+2.1%
Virginia$61$3244051,636+1.4%
Massachusetts$60$2544031,740+0.6%
Colorado$59$3122781,200-1.5%
Illinois$59$3326442,111-2.0%
Tennessee$59$3423811,136-2.0%
Georgia$59$3433631,050-2.1%
Texas$58$3451,0414,582-2.2%
Minnesota$58$3055572,360-2.4%
South Carolina$58$324247814-2.7%
Iowa$58$289145554-2.8%
North Carolina$58$3204511,765-3.7%
Michigan$57$2504511,951-4.2%
New Mexico$57$26686351-4.8%
Oregon$57$228200818-4.9%
Ohio$57$3574631,632-5.1%
Utah$56$202117408-6.3%
Kansas$56$217128378-6.5%
Missouri$56$2903771,575-6.6%
New Hampshire$56$470106402-6.8%
Pennsylvania$56$2496972,625-6.9%
Arkansas$56$250147408-7.0%
Rhode Island$56$24969223-7.2%
Wisconsin$55$495328948-7.3%
Oklahoma$55$266180746-7.5%
Kentucky$55$252147498-7.8%
Montana$55$19553201-8.3%
Alabama$55$283227658-8.3%
Louisiana$55$315188466-8.4%
Indiana$55$2542991,113-8.6%
Maine$54$21680206-9.6%
Delaware$54$23236146-9.7%
West Virginia$54$23896358-9.7%
Wyoming$54$24828104-9.9%
North Dakota$54$21238109-10.1%
Idaho$54$29088328-10.1%
Nebraska$53$22481375-10.7%
Vermont$53$30623116-10.8%
South Dakota$53$17440163-10.8%
Mississippi$53$287138566-10.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber