75571

Ct scan of heart with evaluation of blood vessel calcium

Medicare pricing data for 6,162 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $27 in South Dakota to $114 in Kansas. 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 heart with evaluation of blood vessel calcium (HCPCS code 75571) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $71.08, but hospitals typically charge $322.00 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.22

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $71.08, your out-of-pocket cost would be approximately $14.22. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$71.08
Average Hospital Charge
$322.00
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$322.00
Medicare Allowed$71.08
Medicare Payment$50.65

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $50.65 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Kansas$114$2573114+60.8%
Alaska$101$50638666+42.2%
District of Columbia$100$31030996+41.0%
Maryland$95$2532527,863+33.5%
New Jersey$93$7912807,533+30.2%
Arizona$84$3392043,461+18.6%
Illinois$81$25947656+14.6%
Nevada$80$465891,086+12.3%
New Hampshire$78$224411+9.9%
Florida$78$35269413,235+9.9%
California$77$25690019,060+8.5%
Virginia$74$3931311,822+3.7%
Michigan$69$28625194-3.4%
New Mexico$64$248721,027-9.6%
Tennessee$64$1811441,031-9.9%
Iowa$63$434561-10.9%
Nebraska$62$15119104-12.9%
Oregon$61$197911,387-14.0%
New York$61$22772748-14.3%
Washington$60$1621932,074-15.8%
Texas$58$3176617,323-17.8%
Delaware$57$14023571-20.0%
Colorado$56$1871531,645-21.0%
Massachusetts$54$23436121-23.4%
Kentucky$53$11543240-25.6%
North Carolina$50$179210926-30.1%
Pennsylvania$50$3633875,956-30.2%
Wisconsin$49$1881788-31.2%
Hawaii$49$15220426-31.5%
Rhode Island$45$1367159-36.2%
Louisiana$45$1711851,192-37.1%
Idaho$43$12334324-40.0%
Montana$43$17234413-40.1%
Ohio$41$2961531,087-41.8%
Missouri$40$25736271-44.1%
Georgia$39$1882231,704-44.7%
West Virginia$37$1782592-47.7%
Minnesota$36$17652567-48.9%
Connecticut$36$1881754-50.0%
South Carolina$35$24790882-50.6%
Alabama$32$14499410-54.9%
Utah$30$8446283-57.4%
Puerto Rico$30$4510112-57.7%
Oklahoma$29$26263416-59.7%
Arkansas$28$6886703-60.5%
Mississippi$28$12685510-60.7%
Indiana$27$125982-61.5%
North Dakota$27$75962-61.5%
Wyoming$27$1281565-61.6%
South Dakota$27$24114133-62.5%

⚠️ 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