Mri scan of heart before and after contrast
Medicare pricing data for 2,563 providers across 51 states
This procedure has a 5.7x markup — hospitals charge $896.98 but Medicare allows only $157.08. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. Prices vary significantly by location — from $115 in Arkansas to $443 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
Mri scan of heart before and after contrast (HCPCS code 75561) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $157.08, but hospitals typically charge $896.98 — a 5.7x 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 $157.08, your out-of-pocket cost would be approximately $31.42. 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 5.7x more than what Medicare allows for this procedure. Medicare actually pays $121.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $443 | $4,294 | 4 | 134 | +181.8% |
| Hawaii | $294 | $998 | 6 | 108 | +87.2% |
| New York | $221 | $1,704 | 170 | 3,362 | +40.5% |
| Maryland | $214 | $903 | 49 | 877 | +36.0% |
| Nevada | $199 | $897 | 12 | 115 | +26.5% |
| California | $198 | $1,561 | 218 | 3,152 | +26.3% |
| Minnesota | $185 | $1,635 | 117 | 1,990 | +17.7% |
| Florida | $175 | $1,168 | 162 | 2,400 | +11.5% |
| Missouri | $171 | $838 | 55 | 897 | +9.1% |
| Washington | $165 | $795 | 67 | 1,215 | +5.3% |
| Virginia | $163 | $771 | 74 | 2,395 | +4.0% |
| Utah | $160 | $706 | 21 | 559 | +2.0% |
| North Carolina | $160 | $995 | 83 | 1,947 | +1.9% |
| Massachusetts | $159 | $776 | 86 | 2,036 | +1.5% |
| Iowa | $155 | $728 | 25 | 369 | -1.5% |
| New Jersey | $154 | $639 | 62 | 1,111 | -2.0% |
| Connecticut | $153 | $745 | 44 | 744 | -2.9% |
| Arizona | $152 | $944 | 51 | 684 | -3.1% |
| Colorado | $147 | $536 | 54 | 710 | -6.3% |
| Texas | $146 | $782 | 121 | 2,522 | -7.1% |
| Pennsylvania | $145 | $578 | 149 | 3,222 | -7.5% |
| Idaho | $145 | $738 | 25 | 292 | -8.0% |
| Alabama | $144 | $668 | 34 | 424 | -8.2% |
| South Carolina | $140 | $871 | 33 | 492 | -11.0% |
| Oregon | $136 | $417 | 22 | 476 | -13.7% |
| Maine | $135 | $709 | 10 | 224 | -14.1% |
| District of Columbia | $133 | $397 | 8 | 519 | -15.6% |
| Illinois | $132 | $656 | 123 | 3,180 | -16.1% |
| Tennessee | $131 | $595 | 53 | 1,120 | -16.5% |
| Ohio | $129 | $603 | 154 | 2,777 | -18.1% |
| Rhode Island | $125 | $476 | 4 | 134 | -20.6% |
| Wisconsin | $124 | $1,176 | 77 | 1,141 | -21.0% |
| Delaware | $123 | $492 | 3 | 94 | -21.7% |
| West Virginia | $123 | $539 | 15 | 151 | -21.9% |
| Michigan | $122 | $593 | 80 | 1,322 | -22.0% |
| New Hampshire | $122 | $824 | 8 | 346 | -22.3% |
| Montana | $121 | $431 | 6 | 177 | -23.1% |
| New Mexico | $121 | $597 | 6 | 48 | -23.1% |
| Vermont | $120 | $613 | 4 | 90 | -23.4% |
| Georgia | $120 | $672 | 80 | 1,283 | -23.6% |
| North Dakota | $119 | $360 | 9 | 116 | -24.0% |
| Louisiana | $119 | $365 | 17 | 176 | -24.3% |
| Kentucky | $119 | $365 | 31 | 491 | -24.3% |
| Oklahoma | $117 | $310 | 12 | 374 | -25.2% |
| South Dakota | $117 | $454 | 5 | 63 | -25.3% |
| Indiana | $117 | $449 | 46 | 867 | -25.6% |
| Wyoming | $117 | $335 | 5 | 20 | -25.7% |
| Kansas | $117 | $321 | 19 | 267 | -25.8% |
| Mississippi | $116 | $605 | 5 | 134 | -26.2% |
| Nebraska | $115 | $375 | 12 | 230 | -26.5% |
| Arkansas | $115 | $343 | 13 | 163 | -26.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber