76510

1d and 2d ultrasound scan of eye tissue and structures

Medicare pricing data for 590 providers across 32 states

🤖AI Overview

Prices vary significantly by location — from $39 in Ohio to $79 in New Jersey. 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

1d and 2d ultrasound scan of eye tissue and structures (HCPCS code 76510) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $68.77, but hospitals typically charge $337.54 — a 4.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $68.77, your out-of-pocket cost would be approximately $13.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$68.77
Average Hospital Charge
$337.54
Markup Ratio
4.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$337.54
Medicare Allowed$68.77
Medicare Payment$51.72

Hospitals charge 4.9x more than what Medicare allows for this procedure. Medicare actually pays $51.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$79$302749+14.6%
Florida$78$16938721+12.9%
Connecticut$76$40310231+10.2%
California$76$525731,919+9.9%
New York$75$23132496+9.1%
Maryland$74$48225286+7.3%
Oregon$72$283712+4.9%
Minnesota$71$5121370+2.9%
Pennsylvania$70$512121,410+2.5%
Montana$70$316325+1.3%
Illinois$69$23118648+0.8%
North Carolina$68$29317109-1.7%
Missouri$67$34613261-2.0%
Colorado$67$20915158-3.3%
Georgia$66$3838109-3.6%
Kansas$66$3135197-3.7%
Arizona$66$17319231-4.4%
Texas$66$249781,766-4.6%
Michigan$65$19928972-5.1%
Nebraska$64$329950-6.6%
South Carolina$64$25410202-6.8%
New Mexico$64$240722-6.9%
Louisiana$63$196438-8.0%
Oklahoma$63$2909385-8.2%
Iowa$63$3841318-8.3%
Utah$63$287843-8.4%
Indiana$63$263798-8.5%
Tennessee$62$2671954-10.5%
Arkansas$59$158638-14.7%
Wisconsin$45$6992266-34.5%
Massachusetts$42$242323-38.6%
Ohio$39$26417371-43.6%

⚠️ 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