74160

Ct scan of abdomen with contrast

Medicare pricing data for 21,059 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $59 in Vermont to $219 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

Ct scan of abdomen with contrast (HCPCS code 74160) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $103.80, but hospitals typically charge $507.93 — a 4.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$20.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $103.80, your out-of-pocket cost would be approximately $20.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$103.80
Average Hospital Charge
$507.93
Markup Ratio
4.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$507.93
Medicare Allowed$103.80
Medicare Payment$77.86

Hospitals charge 4.9x more than what Medicare allows for this procedure. Medicare actually pays $77.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$219$3582129+111.3%
Maryland$170$5814021,900+63.4%
New Jersey$161$6954611,359+55.0%
Alaska$159$1,20865304+53.6%
Arizona$145$7194171,584+39.4%
District of Columbia$137$54265251+31.9%
Nevada$136$599151481+30.6%
California$133$6071,6405,747+28.5%
Florida$130$5781,3185,346+25.5%
New York$125$5641,0733,624+20.7%
Rhode Island$112$438110495+7.8%
Virginia$110$6635882,424+6.3%
Tennessee$110$5076073,027+5.8%
Texas$109$6081,6065,792+5.3%
Minnesota$109$6215701,445+5.0%
Wyoming$104$60145183+0.4%
Connecticut$104$427283779-0.1%
Washington$104$4225692,067-0.1%
Hawaii$103$38267167-0.9%
Oregon$102$375277939-2.2%
Colorado$100$4514191,601-3.6%
New Mexico$99$49191385-4.2%
Delaware$99$35174352-4.4%
South Carolina$99$5833681,590-4.5%
North Dakota$99$3902880-5.0%
North Carolina$97$5168223,941-6.3%
Nebraska$94$386171654-9.4%
Alabama$92$3253431,028-11.1%
Arkansas$90$3472281,030-13.5%
Kansas$88$338218800-14.9%
Georgia$86$4416582,215-16.7%
Massachusetts$85$3475171,929-17.7%
Mississippi$85$494216741-17.9%
Utah$84$289133366-18.7%
Wisconsin$84$9425281,610-18.8%
Iowa$84$425248875-19.2%
Pennsylvania$84$3749452,534-19.4%
South Dakota$83$29573266-20.0%
Illinois$82$4739273,490-21.4%
Louisiana$81$3693261,033-22.0%
New Hampshire$78$740135523-24.7%
Missouri$77$4324952,176-26.0%
Idaho$76$354108398-26.6%
Indiana$75$3484601,927-27.5%
Maine$75$296116384-28.2%
Ohio$73$4107682,622-29.5%
Montana$72$24573260-30.2%
Kentucky$72$302220654-30.7%
Oklahoma$72$336205720-30.9%
Michigan$71$3096312,533-31.4%
West Virginia$66$309121361-36.8%
Vermont$59$38333168-42.7%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber