75774

Review by radiologist of additional artery image

Medicare pricing data for 5,647 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $43 in Nebraska to $99 in District of Columbia. 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

Review by radiologist of additional artery image (HCPCS code 75774) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $61.54, but hospitals typically charge $236.96 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.31

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $61.54, your out-of-pocket cost would be approximately $12.31. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$61.54
Average Hospital Charge
$236.96
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$236.96
Medicare Allowed$61.54
Medicare Payment$49.08

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $49.08 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$99$13519852+61.3%
Virginia$85$4241484,461+38.5%
California$72$19054710,988+17.5%
Arizona$71$2371502,064+14.9%
New Mexico$70$62833709+14.2%
Pennsylvania$67$2032575,047+9.2%
New York$67$4043074,357+8.4%
Florida$67$3475167,454+8.4%
Missouri$67$1941031,652+8.3%
Utah$65$18339624+5.2%
North Carolina$64$2951913,507+3.8%
Alaska$62$2811069+0.2%
Arkansas$61$43659751-0.5%
Maryland$61$175961,358-1.2%
Mississippi$60$20242351-2.0%
New Jersey$56$2831421,712-8.6%
Oklahoma$56$190641,098-9.6%
Texas$55$2585294,985-11.4%
Indiana$55$1701101,138-11.4%
Georgia$53$2101601,579-13.7%
Tennessee$53$2841231,597-13.7%
Michigan$52$1381701,203-15.3%
Washington$51$1151201,519-16.4%
Idaho$51$15631338-16.5%
Kansas$51$10043567-16.9%
Illinois$51$1922652,082-17.1%
Massachusetts$51$1501285,261-17.6%
Colorado$51$1771181,543-17.8%
Oregon$50$13577983-19.3%
Alabama$49$13675776-20.2%
Louisiana$49$128561,428-20.9%
South Carolina$49$170891,394-21.2%
Connecticut$48$14858367-22.1%
Minnesota$47$263971,021-22.9%
Rhode Island$47$20018216-23.7%
Ohio$47$1422031,580-24.4%
Montana$46$10720232-24.7%
Hawaii$46$10913134-24.8%
Nevada$46$22239291-25.0%
Delaware$46$11511222-25.1%
Iowa$46$10330589-25.1%
New Hampshire$46$18624123-25.2%
Wyoming$45$188515-26.1%
Vermont$45$23710123-26.4%
Puerto Rico$45$95966-26.5%
Maine$45$8919109-27.0%
North Dakota$45$11817215-27.2%
Kentucky$45$10954354-27.4%
West Virginia$44$11718185-27.8%
South Dakota$44$8519556-28.4%
Wisconsin$44$2251181,035-28.5%
Nebraska$43$9425537-29.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber