Ultrasound scan of chest
Medicare pricing data for 26,569 providers across 52 states
This procedure has a 5.6x markup — hospitals charge $169.01 but Medicare allows only $30.38. Uninsured patients may face bills 5.6 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
Ultrasound scan of chest (HCPCS code 76604) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $30.38, but hospitals typically charge $169.01 — a 5.6x 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 $30.38, your out-of-pocket cost would be approximately $6.08. 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 5.6x more than what Medicare allows for this procedure. Medicare actually pays $23.46 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $39 | $307 | 80 | 287 | +28.3% |
| Puerto Rico | $35 | $82 | 25 | 93 | +16.0% |
| Hawaii | $35 | $162 | 88 | 351 | +15.6% |
| New York | $35 | $225 | 1,831 | 11,056 | +13.9% |
| Maryland | $34 | $139 | 476 | 2,316 | +10.3% |
| New Jersey | $34 | $190 | 714 | 2,627 | +10.3% |
| Washington | $33 | $137 | 583 | 1,964 | +7.8% |
| Connecticut | $32 | $182 | 460 | 2,131 | +6.9% |
| California | $32 | $174 | 3,014 | 18,231 | +6.2% |
| Alabama | $32 | $132 | 329 | 1,408 | +4.5% |
| Wyoming | $31 | $156 | 44 | 111 | +3.6% |
| New Mexico | $31 | $198 | 121 | 313 | +3.1% |
| Virginia | $31 | $131 | 698 | 2,288 | +2.3% |
| Kansas | $31 | $116 | 235 | 779 | +1.5% |
| Arizona | $31 | $220 | 502 | 2,752 | +1.4% |
| Iowa | $31 | $155 | 243 | 741 | +1.4% |
| Utah | $31 | $119 | 156 | 353 | +1.1% |
| Florida | $31 | $185 | 1,752 | 10,187 | +0.7% |
| Texas | $31 | $213 | 1,689 | 9,449 | +0.5% |
| Tennessee | $30 | $157 | 502 | 1,564 | +0.1% |
| District of Columbia | $30 | $167 | 86 | 369 | +0.1% |
| Rhode Island | $30 | $146 | 176 | 623 | +0.1% |
| Illinois | $30 | $170 | 959 | 3,340 | -1.3% |
| Colorado | $30 | $162 | 485 | 1,212 | -1.4% |
| Oregon | $30 | $125 | 323 | 839 | -2.4% |
| Nevada | $30 | $191 | 245 | 2,480 | -2.8% |
| New Hampshire | $29 | $222 | 167 | 521 | -3.3% |
| Louisiana | $29 | $162 | 293 | 1,105 | -6.1% |
| Massachusetts | $28 | $138 | 1,080 | 5,716 | -6.5% |
| Michigan | $28 | $118 | 918 | 3,268 | -7.0% |
| North Dakota | $28 | $142 | 84 | 236 | -7.2% |
| Pennsylvania | $28 | $123 | 1,431 | 5,652 | -7.7% |
| Indiana | $28 | $143 | 405 | 1,562 | -8.0% |
| North Carolina | $28 | $155 | 777 | 2,118 | -8.1% |
| Wisconsin | $28 | $249 | 511 | 1,273 | -8.1% |
| Georgia | $28 | $144 | 587 | 2,011 | -8.2% |
| Idaho | $28 | $147 | 146 | 439 | -8.7% |
| Arkansas | $28 | $110 | 207 | 1,441 | -9.0% |
| Missouri | $28 | $143 | 544 | 2,130 | -9.3% |
| Maine | $27 | $105 | 153 | 422 | -9.6% |
| Vermont | $27 | $153 | 83 | 298 | -9.8% |
| Minnesota | $27 | $175 | 768 | 3,348 | -9.9% |
| South Dakota | $27 | $102 | 74 | 236 | -10.0% |
| Montana | $27 | $144 | 74 | 313 | -10.5% |
| South Carolina | $27 | $115 | 459 | 2,259 | -10.5% |
| Oklahoma | $27 | $134 | 230 | 1,006 | -12.0% |
| Kentucky | $27 | $105 | 286 | 918 | -12.0% |
| Nebraska | $27 | $111 | 213 | 987 | -12.5% |
| Ohio | $26 | $159 | 785 | 3,049 | -13.2% |
| Delaware | $26 | $116 | 101 | 488 | -13.5% |
| West Virginia | $26 | $116 | 157 | 759 | -14.3% |
| Mississippi | $26 | $151 | 195 | 856 | -14.5% |
⚠️ 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