74420

Imaging of urinary tract following injection of a contrast agent

Medicare pricing data for 12,738 providers across 52 states

🤖AI Overview

This procedure has a 6.3x markup — hospitals charge $238.84 but Medicare allows only $37.76. Uninsured patients may face bills 6.3 times higher than what insurance negotiates. Prices vary significantly by location — from $23 in Idaho to $79 in Maryland. 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

Imaging of urinary tract following injection of a contrast agent (HCPCS code 74420) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.76, but hospitals typically charge $238.84 — a 6.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.55

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $37.76, your out-of-pocket cost would be approximately $7.55. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$37.76
Average Hospital Charge
$238.84
Markup Ratio
6.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$238.84
Medicare Allowed$37.76
Medicare Payment$29.94

Hospitals charge 6.3x more than what Medicare allows for this procedure. Medicare actually pays $29.94 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$79$4362063,305+108.5%
Mississippi$64$264911,340+68.2%
Georgia$63$3413465,589+67.8%
Delaware$62$26335411+65.1%
Oregon$58$2131831,974+52.8%
Alaska$55$53419359+45.1%
Virginia$55$1573406,561+45.0%
New Jersey$48$7974596,648+27.0%
South Carolina$44$2592033,789+16.8%
California$42$2329269,522+12.1%
Iowa$42$2461201,170+11.6%
Colorado$42$3462282,049+10.4%
Florida$40$2731,09913,573+6.6%
Missouri$40$2812783,091+5.5%
Tennessee$40$1732273,073+5.0%
Texas$38$2657846,671+0.7%
Kansas$38$3871271,908-0.7%
Nebraska$37$152104719-1.8%
Utah$36$175961,183-3.8%
Arizona$35$2562804,195-8.6%
Illinois$34$2737028,703-9.9%
Montana$32$7950706-14.3%
Alabama$32$1831601,412-15.3%
Pennsylvania$32$1475647,137-15.3%
Louisiana$32$1652062,387-16.4%
Minnesota$31$1703092,915-17.7%
Ohio$31$1245556,356-18.4%
Hawaii$31$22730241-18.5%
New York$31$3216917,830-18.8%
North Carolina$30$1774505,888-20.4%
Massachusetts$29$1033685,312-22.6%
Wyoming$29$19312122-23.5%
Connecticut$28$2291701,801-25.3%
Rhode Island$27$14166660-28.2%
Oklahoma$27$891383,203-29.0%
Michigan$27$1344945,534-29.1%
Indiana$27$1342474,000-29.1%
Washington$26$733603,633-30.4%
District of Columbia$26$16725337-30.5%
New Mexico$26$10349283-30.8%
New Hampshire$25$176641,102-33.4%
Nevada$25$18960504-34.0%
Wisconsin$25$1832761,846-34.5%
Arkansas$24$97801,183-35.7%
Kentucky$24$681391,999-35.8%
Puerto Rico$24$741115-36.0%
North Dakota$24$7016518-36.7%
Vermont$24$23621317-37.4%
South Dakota$24$522585-37.7%
Maine$23$7262496-37.8%
West Virginia$23$7584968-38.4%
Idaho$23$10756775-38.6%

⚠️ 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