76376

3d radiographic procedure

Medicare pricing data for 20,081 providers across 52 states

🤖AI Overview

This procedure has a 10.6x markup — hospitals charge $133.21 but Medicare allows only $12.57. Uninsured patients may face bills 10.6 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

3d radiographic procedure (HCPCS code 76376) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.57, but hospitals typically charge $133.21 — a 10.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.51

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.57, your out-of-pocket cost would be approximately $2.51. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$12.57
Average Hospital Charge
$133.21
Markup Ratio
10.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$133.21
Medicare Allowed$12.57
Medicare Payment$9.69

Hospitals charge 10.6x more than what Medicare allows for this procedure. Medicare actually pays $9.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$18$47637117+44.6%
Hawaii$18$8671875+44.2%
New York$16$2301,17224,649+29.9%
Washington$16$936018,287+28.9%
Puerto Rico$16$581880+28.6%
California$16$1301,96144,306+27.1%
Minnesota$16$33869014,087+25.8%
Maryland$16$1162002,229+24.1%
Arizona$15$4164728,691+16.2%
New Jersey$14$1235214,015+12.3%
Connecticut$14$1523124,516+10.7%
Idaho$13$1011501,248+5.6%
Florida$13$1031,11614,112+4.1%
District of Columbia$13$17449372+2.4%
New Mexico$13$1921181,367+0.6%
Virginia$13$5635397,657+0.1%
Alabama$13$832272,099+0.1%
Illinois$12$891,05720,353-7.2%
Massachusetts$12$7667521,713-8.0%
Delaware$11$6937207-8.9%
Georgia$11$886178,749-9.3%
Nebraska$11$1031462,933-10.7%
Michigan$11$606278,360-10.7%
Wisconsin$11$13065511,925-10.7%
Colorado$11$622822,290-10.9%
Oregon$11$621951,887-11.8%
Tennessee$11$1014385,499-11.8%
Wyoming$11$2223452-14.9%
Mississippi$11$132105888-15.0%
Kentucky$11$75123902-15.2%
South Carolina$11$1314548,908-15.3%
Kansas$11$812056,701-15.9%
Louisiana$11$912241,333-16.2%
Indiana$11$823254,445-16.3%
New Hampshire$11$1121611,564-16.3%
North Carolina$10$10292021,987-16.6%
Texas$10$891,43319,218-18.0%
Pennsylvania$10$5272516,755-18.1%
Rhode Island$10$50422,358-18.5%
Vermont$10$5428871-19.0%
South Dakota$10$5738271-19.1%
Missouri$10$694476,836-19.2%
Ohio$10$677017,944-21.6%
Nevada$10$56962,353-21.9%
Montana$10$74521,220-22.0%
Iowa$10$721933,530-22.4%
Arkansas$10$402383,128-22.7%
Utah$10$611881,057-23.9%
Oklahoma$10$82125954-24.2%
Maine$9$301043,041-25.1%
North Dakota$9$3353484-25.8%
West Virginia$9$42851,485-26.0%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber