75898

Imaging of blood vessel

Medicare pricing data for 1,413 providers across 49 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $467.03 but Medicare allows only $92.45. Uninsured patients may face bills 5.1 times higher than what insurance negotiates. 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

Imaging of blood vessel (HCPCS code 75898) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $92.45, but hospitals typically charge $467.03 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$18.49

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $92.45, your out-of-pocket cost would be approximately $18.49. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$92.45
Average Hospital Charge
$467.03
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$467.03
Medicare Allowed$92.45
Medicare Payment$73.76

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $73.76 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$120$5131251,613+29.9%
Alaska$114$1,097120+23.5%
New York$108$663891,325+17.0%
District of Columbia$100$283964+8.6%
Illinois$99$53263722+7.1%
Connecticut$95$51214128+3.0%
Michigan$94$46947441+1.5%
Massachusetts$93$69633645+0.2%
Nevada$91$51712103-1.7%
Virginia$90$31137580-2.5%
Delaware$90$224226-2.5%
Pennsylvania$89$44865734-3.5%
Louisiana$89$33528118-3.8%
Washington$89$27024259-3.8%
Hawaii$89$234452-4.0%
Colorado$89$28920321-4.1%
Rhode Island$88$262531-4.4%
California$88$4141471,592-4.4%
New Hampshire$88$876532-4.5%
Georgia$88$29829286-4.6%
New Mexico$88$327518-4.9%
Missouri$88$46232186-5.0%
Ohio$88$40850458-5.0%
Texas$88$402115972-5.1%
West Virginia$88$257848-5.3%
Maine$87$266647-6.3%
Oregon$86$26120114-7.4%
Oklahoma$85$2571173-7.8%
Arizona$85$52826555-8.2%
South Carolina$84$60516255-8.7%
North Dakota$84$272444-8.7%
North Carolina$84$32638425-8.9%
Kentucky$84$29819256-9.1%
New Jersey$84$75641371-9.2%
Utah$84$4799131-9.2%
Mississippi$84$4481596-9.3%
Alabama$83$34923274-9.7%
Iowa$83$52611215-10.2%
Idaho$83$3421798-10.7%
Tennessee$82$55737526-10.8%
Minnesota$82$43223467-10.8%
Indiana$82$19219317-11.0%
Kansas$82$26615142-11.3%
South Dakota$82$161558-11.4%
Maryland$82$34720621-11.5%
Vermont$81$1,421243-12.7%
Wisconsin$81$1,26924145-12.9%
Arkansas$80$3951377-13.4%
Nebraska$79$2801168-15.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber