75820

Review by radiologist of 1 arm or leg vein of 1 arm or leg image

Medicare pricing data for 6,140 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $46 in Arkansas to $92 in Hawaii. 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 1 arm or leg vein of 1 arm or leg image (HCPCS code 75820) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $60.95, but hospitals typically charge $212.65 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.19

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $60.95, your out-of-pocket cost would be approximately $12.19. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$60.95
Average Hospital Charge
$212.65
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$212.65
Medicare Allowed$60.95
Medicare Payment$48.40

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $48.40 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$92$203736+51.1%
Connecticut$83$38681227+36.6%
New York$75$271308911+23.4%
Maryland$75$182116800+22.7%
Michigan$71$204249825+17.2%
Delaware$70$2581856+14.2%
New Jersey$67$227182736+10.3%
Alaska$67$821914+9.1%
California$65$2085742,348+7.3%
Arizona$65$208140493+6.1%
Florida$64$2185812,120+5.4%
Georgia$61$213160393+0.5%
Texas$60$2775851,884-1.5%
Illinois$60$224270733-1.9%
Massachusetts$59$231120336-3.4%
South Dakota$58$2062694-4.3%
Louisiana$58$24193288-4.7%
Colorado$58$226110249-5.1%
Virginia$56$158169442-8.7%
Pennsylvania$55$180275822-10.0%
Indiana$54$174146420-11.3%
Tennessee$54$183130315-11.4%
Alabama$54$14894454-11.4%
Iowa$54$17643109-11.7%
District of Columbia$53$1381848-12.3%
Utah$53$13838111-13.1%
Missouri$53$152128285-13.5%
Minnesota$52$17684194-14.9%
Mississippi$52$23957246-15.3%
North Carolina$51$164184420-15.7%
South Carolina$51$183128335-16.4%
Ohio$50$159215423-17.8%
Rhode Island$50$2321724-18.7%
Washington$49$13175153-18.9%
Montana$49$1302377-19.2%
Oklahoma$49$14373297-19.3%
New Hampshire$49$2702231-19.4%
Puerto Rico$49$701046-20.0%
New Mexico$49$14026100-20.1%
Wyoming$49$105514-20.2%
Nevada$48$21846140-20.7%
Oregon$48$1324991-20.7%
West Virginia$48$3942771-21.2%
Maine$48$1201729-21.5%
North Dakota$47$1821430-22.1%
Kentucky$47$11762100-23.0%
Idaho$47$2222248-23.0%
Wisconsin$47$364102210-23.0%
Kansas$47$11251213-23.2%
Nebraska$46$11940112-24.6%
Arkansas$46$17964187-25.3%

⚠️ 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