76512

2d ultrasound scan of eye tissue and structures

Medicare pricing data for 10,015 providers across 52 states

🤖AI Overview

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

2d ultrasound scan of eye tissue and structures (HCPCS code 76512) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.97, but hospitals typically charge $205.48 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.39

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $51.97, your out-of-pocket cost would be approximately $10.39. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$51.97
Average Hospital Charge
$205.48
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$205.48
Medicare Allowed$51.97
Medicare Payment$39.37

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $39.37 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$65$2261,05546,237+25.7%
Alaska$54$57026100+4.0%
Connecticut$51$2881221,576-1.0%
Florida$51$14679025,929-1.1%
California$51$2221,07226,146-1.2%
New Jersey$50$17231611,903-3.5%
Maryland$49$19422810,359-4.8%
Hawaii$49$24352833-5.7%
Washington$49$1922062,095-6.5%
Wyoming$48$123318-6.9%
Rhode Island$48$22144412-7.5%
Virginia$48$1852202,657-8.1%
Illinois$48$2183985,998-8.5%
Nevada$47$19734706-8.7%
District of Columbia$47$17236271-9.4%
Minnesota$47$2952221,491-9.7%
Kentucky$47$180116847-9.8%
South Dakota$47$15322135-9.9%
Michigan$47$1913073,066-10.4%
Puerto Rico$46$5223590-11.4%
Missouri$46$1901821,615-12.0%
Colorado$46$1671751,375-12.0%
Georgia$46$3411932,034-12.4%
Pennsylvania$45$1895175,133-13.1%
New Hampshire$45$24457311-13.1%
Delaware$45$1611542-13.3%
Arizona$45$2001321,686-13.3%
Texas$45$19567212,046-13.5%
North Carolina$45$2512923,544-13.7%
Montana$45$17436292-14.0%
Indiana$44$1991471,118-14.4%
South Carolina$44$2401331,140-14.5%
Idaho$44$15419151-15.1%
Kansas$44$244692,395-15.2%
Massachusetts$44$2283504,262-16.0%
Oklahoma$44$15980998-16.2%
Nebraska$43$20848454-16.9%
New Mexico$43$16766350-17.3%
Tennessee$43$2241863,110-17.7%
Utah$43$17775393-17.9%
Ohio$42$2313282,018-19.1%
North Dakota$42$10823125-19.2%
Mississippi$42$19577821-19.4%
Arkansas$41$19479707-20.7%
Alabama$41$19481773-21.5%
Oregon$41$1451121,675-21.7%
Iowa$41$22188730-21.8%
Wisconsin$40$3951751,501-22.1%
Louisiana$39$2021382,812-24.2%
Maine$39$20547230-24.5%
West Virginia$39$18157578-25.1%
Vermont$39$17133194-25.4%

⚠️ 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