Review by radiologist of image for replacement of stomach or large bowel tube
Medicare pricing data for 3,872 providers across 50 states
This procedure has a 5.2x markup — hospitals charge $198.68 but Medicare allows only $38.25. Uninsured patients may face bills 5.2 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
Review by radiologist of image for replacement of stomach or large bowel tube (HCPCS code 75984) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.25, but hospitals typically charge $198.68 — a 5.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $38.25, your out-of-pocket cost would be approximately $7.65. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $29.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $43 | $161 | 140 | 721 | +12.1% |
| New York | $42 | $182 | 273 | 1,052 | +10.5% |
| Florida | $42 | $238 | 301 | 1,446 | +9.5% |
| New Jersey | $42 | $235 | 113 | 446 | +9.0% |
| Alaska | $41 | $373 | 8 | 23 | +7.7% |
| California | $41 | $187 | 334 | 1,541 | +6.5% |
| District of Columbia | $40 | $147 | 15 | 90 | +4.2% |
| Maryland | $39 | $132 | 66 | 500 | +2.2% |
| Connecticut | $39 | $169 | 52 | 215 | +1.1% |
| Illinois | $38 | $267 | 172 | 1,003 | -0.2% |
| Rhode Island | $38 | $144 | 21 | 143 | -0.3% |
| Oregon | $38 | $108 | 47 | 194 | -1.0% |
| Delaware | $38 | $107 | 15 | 75 | -1.1% |
| Texas | $38 | $229 | 252 | 879 | -1.9% |
| Colorado | $37 | $162 | 85 | 316 | -2.0% |
| Pennsylvania | $37 | $163 | 235 | 1,715 | -2.1% |
| Montana | $37 | $143 | 7 | 12 | -2.3% |
| Virginia | $37 | $157 | 115 | 549 | -2.3% |
| Michigan | $37 | $176 | 122 | 655 | -2.6% |
| Nevada | $37 | $256 | 31 | 119 | -3.0% |
| Louisiana | $37 | $135 | 21 | 167 | -3.0% |
| Washington | $37 | $115 | 73 | 302 | -3.6% |
| North Dakota | $37 | $118 | 17 | 261 | -3.8% |
| Minnesota | $37 | $189 | 91 | 1,254 | -4.1% |
| New Hampshire | $37 | $382 | 17 | 91 | -4.4% |
| Vermont | $37 | $284 | 8 | 26 | -4.4% |
| Ohio | $36 | $213 | 124 | 595 | -4.7% |
| Alabama | $36 | $172 | 24 | 94 | -5.2% |
| South Carolina | $36 | $177 | 49 | 254 | -5.4% |
| South Dakota | $36 | $124 | 15 | 291 | -5.4% |
| New Mexico | $36 | $151 | 24 | 92 | -5.6% |
| Arizona | $36 | $295 | 76 | 504 | -5.6% |
| Kansas | $36 | $97 | 26 | 147 | -5.7% |
| Puerto Rico | $36 | $128 | 7 | 16 | -5.8% |
| Oklahoma | $36 | $103 | 30 | 115 | -5.8% |
| Kentucky | $36 | $163 | 33 | 89 | -6.0% |
| Idaho | $36 | $130 | 17 | 127 | -6.1% |
| Tennessee | $36 | $179 | 77 | 378 | -6.3% |
| Georgia | $36 | $175 | 64 | 167 | -6.5% |
| Indiana | $36 | $128 | 75 | 334 | -6.8% |
| Wisconsin | $36 | $339 | 113 | 845 | -6.8% |
| Nebraska | $35 | $128 | 16 | 90 | -7.4% |
| Missouri | $35 | $192 | 87 | 747 | -7.5% |
| Mississippi | $35 | $130 | 21 | 38 | -8.4% |
| Arkansas | $35 | $884 | 35 | 176 | -8.4% |
| West Virginia | $35 | $139 | 21 | 65 | -8.8% |
| North Carolina | $35 | $173 | 153 | 616 | -9.3% |
| Utah | $35 | $176 | 17 | 59 | -9.4% |
| Maine | $34 | $113 | 22 | 94 | -11.0% |
| Iowa | $33 | $131 | 33 | 540 | -13.2% |
⚠️ 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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