Ultrasound scan of eye using water bath method
Medicare pricing data for 849 providers across 30 states
Prices vary significantly by location — from $31 in Utah to $130 in New York. 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
Ultrasound scan of eye using water bath method (HCPCS code 76513) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $100.17, but hospitals typically charge $296.39 — a 3.0x 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 $100.17, your out-of-pocket cost would be approximately $20.03. 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 3.0x more than what Medicare allows for this procedure. Medicare actually pays $76.27 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $130 | $314 | 126 | 4,494 | +29.7% |
| Massachusetts | $91 | $331 | 8 | 15 | -9.6% |
| Illinois | $87 | $355 | 26 | 160 | -13.5% |
| Michigan | $86 | $289 | 62 | 585 | -14.1% |
| California | $86 | $264 | 87 | 1,317 | -14.3% |
| Connecticut | $84 | $314 | 6 | 37 | -16.1% |
| Hawaii | $81 | $249 | 4 | 22 | -19.3% |
| Maryland | $81 | $288 | 14 | 87 | -19.6% |
| Iowa | $80 | $262 | 5 | 14 | -20.3% |
| Florida | $79 | $312 | 59 | 283 | -20.9% |
| Virginia | $79 | $187 | 7 | 38 | -21.3% |
| Maine | $78 | $159 | 4 | 17 | -21.9% |
| New Jersey | $78 | $236 | 24 | 679 | -21.9% |
| Minnesota | $77 | $456 | 27 | 104 | -22.8% |
| Kansas | $75 | $176 | 5 | 27 | -25.2% |
| Washington | $74 | $198 | 16 | 39 | -25.7% |
| Colorado | $74 | $196 | 14 | 38 | -25.9% |
| Georgia | $74 | $351 | 10 | 48 | -26.0% |
| Arizona | $73 | $193 | 13 | 69 | -27.2% |
| Pennsylvania | $71 | $344 | 50 | 517 | -28.9% |
| Missouri | $70 | $271 | 32 | 89 | -30.5% |
| North Carolina | $69 | $306 | 20 | 183 | -31.2% |
| Oklahoma | $69 | $168 | 12 | 76 | -31.5% |
| Tennessee | $68 | $318 | 9 | 40 | -32.3% |
| Texas | $68 | $291 | 101 | 973 | -32.5% |
| Oregon | $68 | $266 | 7 | 11 | -32.5% |
| Ohio | $57 | $255 | 35 | 179 | -42.9% |
| Wisconsin | $49 | $324 | 24 | 46 | -51.2% |
| New Hampshire | $32 | $183 | 5 | 25 | -67.9% |
| Utah | $31 | $82 | 3 | 110 | -69.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber