76775

Limited ultrasound scan behind abdominal cavity

Medicare pricing data for 32,598 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $28 in Maine to $58 in Maryland. 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

Limited ultrasound scan behind abdominal cavity (HCPCS code 76775) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $43.58, but hospitals typically charge $190.13 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $43.58, your out-of-pocket cost would be approximately $8.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$43.58
Average Hospital Charge
$190.13
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$190.13
Medicare Allowed$43.58
Medicare Payment$32.07

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $32.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$58$22167820,555+32.4%
District of Columbia$56$191781,588+28.4%
California$55$2043,09246,207+26.2%
New Jersey$52$2261,23931,598+19.6%
New York$50$1952,46353,259+15.2%
Nevada$49$1712763,472+11.9%
Rhode Island$47$2092213,035+7.9%
Arizona$46$2036306,458+6.7%
Florida$46$2042,39641,659+5.6%
Connecticut$45$1914875,391+3.1%
Utah$45$1001631,064+2.8%
Louisiana$45$1924347,926+2.5%
Colorado$42$1926263,784-4.0%
Massachusetts$41$2051,00315,372-5.9%
Texas$41$2121,94218,072-6.9%
Hawaii$40$21894566-7.2%
Alaska$39$24880591-10.0%
Wyoming$39$25758385-10.0%
Puerto Rico$39$7820143-10.1%
Tennessee$39$1947126,820-10.9%
North Carolina$39$1719095,256-11.2%
Georgia$39$1898569,154-11.2%
South Carolina$38$1894192,786-12.5%
Delaware$38$129951,478-13.4%
Illinois$37$2021,34718,715-14.9%
New Mexico$36$252142668-17.0%
Kansas$36$2103242,671-17.6%
Minnesota$36$2021,0596,703-18.3%
Iowa$35$1713321,976-20.6%
Washington$34$1424821,971-21.0%
New Hampshire$34$1862201,967-21.7%
Virginia$34$1707596,150-21.7%
Pennsylvania$34$1551,51119,649-22.0%
Mississippi$34$2172683,199-22.2%
Missouri$34$1387006,252-22.6%
Oregon$33$1303701,632-25.2%
Nebraska$32$1422932,403-25.7%
Ohio$32$1631,07911,188-26.6%
Alabama$32$1274123,684-27.6%
Vermont$31$144971,061-29.1%
Michigan$31$12589211,042-29.3%
Indiana$31$1605435,754-29.4%
Montana$31$127108890-29.6%
Arkansas$30$1142863,211-30.4%
Wisconsin$30$2567923,506-30.8%
Idaho$30$163126702-30.8%
South Dakota$30$131188910-31.8%
Kentucky$30$1173664,930-32.3%
West Virginia$29$1341894,056-34.2%
Oklahoma$29$1183913,915-34.4%
North Dakota$28$1281091,168-36.5%
Maine$28$1052041,646-36.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber