75726

Review by radiologist of abdominal artery image

Medicare pricing data for 5,267 providers across 50 states

🤖AI Overview

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

Review by radiologist of abdominal artery image (HCPCS code 75726) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $100.75, but hospitals typically charge $376.51 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$20.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $100.75, your out-of-pocket cost would be approximately $20.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$100.75
Average Hospital Charge
$376.51
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$376.51
Medicare Allowed$100.75
Medicare Payment$80.39

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $80.39 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$127$674945+25.7%
Virginia$125$4191531,366+24.5%
New Mexico$120$94628243+19.4%
New York$112$4823232,091+10.9%
Pennsylvania$108$3132482,150+7.2%
North Carolina$106$3811721,562+5.4%
Florida$106$3824052,289+5.2%
Arizona$105$421113783+4.5%
Maryland$103$283102736+2.6%
District of Columbia$102$22323149+1.6%
Arkansas$101$1,09252399+0.2%
California$101$3644473,338-0.1%
Missouri$101$288125957-0.2%
Washington$101$309126828-0.2%
South Dakota$100$34525222-0.5%
New Jersey$100$411123712-1.1%
Michigan$99$253179888-1.7%
Colorado$99$354101616-1.9%
Connecticut$99$29065248-2.1%
Illinois$98$4062291,482-2.7%
Texas$98$5134002,264-2.9%
Oregon$96$27184538-4.4%
Rhode Island$96$36719104-5.0%
Georgia$96$388136844-5.0%
Massachusetts$95$2841421,413-5.5%
Hawaii$95$2051459-6.0%
Montana$95$25222156-6.1%
Delaware$95$23814132-6.1%
Mississippi$94$27933162-6.2%
Nevada$94$39046238-6.3%
Tennessee$94$355133989-6.4%
Vermont$94$4611181-6.7%
New Hampshire$94$59225122-6.7%
Louisiana$93$34268508-7.3%
Indiana$93$287105649-7.7%
Ohio$93$2911861,085-7.7%
Maine$92$1892487-8.3%
West Virginia$92$25022116-8.5%
Utah$92$22838218-8.6%
North Dakota$91$27517128-9.3%
Minnesota$91$49798647-9.4%
Alabama$91$23166485-9.8%
Kentucky$91$25059310-9.8%
South Carolina$91$30878698-9.8%
Oklahoma$90$23059483-10.3%
Kansas$90$20541334-10.9%
Wisconsin$90$600117685-10.9%
Idaho$89$27729170-11.3%
Iowa$88$30941289-12.3%
Nebraska$88$21733304-12.8%

⚠️ 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