76705

Limited ultrasound scan of abdomen

Medicare pricing data for 54,654 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 1.0 million services annually. Even small pricing inefficiencies here affect millions of patients. 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

Limited ultrasound scan of abdomen (HCPCS code 76705) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.13, but hospitals typically charge $177.84 — a 4.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.63

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $38.13, your out-of-pocket cost would be approximately $7.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$38.13
Average Hospital Charge
$177.84
Markup Ratio
4.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$177.84
Medicare Allowed$38.13
Medicare Payment$27.85

Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $27.85 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$49$15087726,811+29.6%
California$48$2055,704103,352+26.1%
Alaska$48$2591672,821+24.9%
New Jersey$47$2001,29624,713+23.3%
Wyoming$47$233951,640+22.0%
Rhode Island$46$1682994,811+20.4%
Florida$44$2223,47971,086+16.2%
New York$44$1863,17260,619+15.7%
Arizona$43$23990515,850+12.6%
District of Columbia$43$1681623,359+12.1%
Nevada$41$2224307,459+7.7%
Hawaii$41$1722102,934+7.5%
Colorado$41$1941,09616,788+6.5%
Connecticut$40$16281211,469+3.8%
Washington$39$1641,34823,634+2.1%
Delaware$39$1301604,025+1.5%
Puerto Rico$38$14528197+0.4%
Tennessee$37$1651,30623,076-1.7%
North Carolina$37$1722,16236,790-2.0%
Kansas$37$12654810,331-3.5%
Texas$37$2193,55962,372-3.5%
Virginia$36$1911,44330,977-4.4%
Illinois$36$1861,99649,086-5.6%
New Mexico$36$1733005,244-5.7%
Alabama$36$11584214,179-5.7%
Oregon$36$13672211,043-6.3%
South Carolina$35$19789018,441-8.9%
Iowa$35$16852411,067-9.0%
Georgia$35$1801,68228,754-9.2%
Utah$34$1154284,466-10.0%
Massachusetts$34$1321,69030,781-10.1%
Minnesota$34$1611,87226,708-10.6%
South Dakota$33$1192413,230-12.6%
Mississippi$33$16144511,897-12.8%
Pennsylvania$33$1432,54046,711-13.5%
New Hampshire$33$2242865,683-13.9%
North Dakota$33$1541833,283-14.2%
Wisconsin$32$2841,29018,761-14.8%
Montana$32$1131622,771-15.9%
Missouri$32$1281,12124,365-16.6%
Nebraska$32$1333996,310-16.7%
Oklahoma$32$16360014,443-16.8%
Arkansas$32$11747410,263-17.2%
Kentucky$32$12865513,848-17.4%
Indiana$31$14093920,318-18.4%
Michigan$31$1311,59431,427-18.8%
Louisiana$31$14564712,178-19.3%
Ohio$31$1791,84737,058-19.4%
Idaho$31$1692774,460-20.0%
West Virginia$30$1323128,733-21.2%
Maine$30$1182594,724-22.3%
Vermont$28$1631202,473-25.8%

⚠️ 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