75572

Ct scan of heart structure with contrast

Medicare pricing data for 3,651 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $77 in Arkansas to $281 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

Ct scan of heart structure with contrast (HCPCS code 75572) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $96.92, but hospitals typically charge $467.44 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$19.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $96.92, your out-of-pocket cost would be approximately $19.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$96.92
Average Hospital Charge
$467.44
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$467.44
Medicare Allowed$96.92
Medicare Payment$75.13

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $75.13 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$281$2,488825+189.5%
New York$126$9121912,647+30.0%
Virginia$122$4501082,215+26.1%
California$119$6343043,244+22.4%
Florida$119$7962512,054+22.4%
Alabama$116$51672942+19.7%
Arizona$114$851911,649+17.6%
Minnesota$113$6181521,668+16.5%
Tennessee$106$54461935+9.8%
New Jersey$104$46977911+7.6%
Louisiana$104$50744365+6.8%
North Carolina$103$4342163,476+6.2%
Wisconsin$99$855961,208+2.0%
Illinois$97$4201641,907+0.1%
Massachusetts$96$400812,881-0.6%
Maryland$95$301641,061-2.0%
Michigan$93$358931,076-4.3%
Washington$90$306681,250-7.2%
Texas$89$4152122,824-8.2%
Ohio$89$3851521,641-8.2%
Oregon$88$284701,058-9.2%
Connecticut$88$41529222-9.7%
Colorado$87$382831,045-9.9%
District of Columbia$86$28410632-11.4%
New Mexico$86$786575-11.5%
Mississippi$85$33036335-12.7%
Rhode Island$85$3279668-12.7%
Pennsylvania$83$3122024,633-14.2%
Hawaii$83$22810226-14.3%
New Hampshire$82$75421820-15.5%
Iowa$81$31351747-16.0%
Georgia$81$396931,793-16.0%
Missouri$81$398821,510-16.4%
North Dakota$81$191440-16.7%
Vermont$80$421549-17.0%
South Carolina$80$46858884-17.2%
Delaware$80$256341-17.3%
Kentucky$80$24336694-17.9%
South Dakota$80$1091699-17.9%
Oklahoma$79$237241,346-18.0%
Montana$79$28212332-18.0%
Kansas$79$26460798-18.1%
Idaho$78$31026517-19.0%
Utah$78$2468161-19.1%
Indiana$78$289651,343-19.1%
Maine$78$27318195-19.4%
Nebraska$78$28529180-19.5%
West Virginia$78$33426218-19.5%
Nevada$78$1,1921152-19.9%
Arkansas$77$14618418-20.1%

⚠️ 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