76870

Ultrasound scan of scrotum

Medicare pricing data for 30,063 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $32 in West Virginia to $73 in New Jersey. 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 scrotum (HCPCS code 76870) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.26, but hospitals typically charge $208.72 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.25

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $51.26, your out-of-pocket cost would be approximately $10.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$51.26
Average Hospital Charge
$208.72
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$208.72
Medicare Allowed$51.26
Medicare Payment$37.39

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $37.39 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$73$2439224,224+41.8%
New York$72$2381,83011,291+41.1%
Puerto Rico$68$916093+32.1%
Maryland$66$1856383,934+28.5%
Arizona$65$2895492,860+27.2%
California$64$2452,96314,715+25.1%
Alaska$63$33077360+22.6%
Florida$60$2432,06110,088+17.5%
District of Columbia$57$21682470+10.5%
Delaware$56$15688681+8.4%
Nevada$56$2852731,164+8.3%
Rhode Island$55$218128509+7.4%
Wyoming$55$27154183+7.2%
Hawaii$52$210100334+1.0%
Connecticut$51$1824251,671-0.4%
Texas$50$2431,9618,134-2.8%
Virginia$50$2077383,679-3.2%
Colorado$49$2005602,260-4.7%
Tennessee$48$2037663,088-6.9%
Washington$47$2017202,996-8.5%
Massachusetts$47$1757784,423-8.7%
Georgia$47$1998973,547-8.8%
Kansas$45$1492891,277-12.1%
Iowa$44$1962941,186-14.6%
Utah$44$135216782-14.7%
New Mexico$43$205172832-15.3%
Illinois$43$2181,2295,535-15.3%
North Carolina$43$1881,1344,382-15.8%
Oregon$42$1573931,518-17.5%
Minnesota$42$2079753,517-17.8%
South Dakota$42$154142537-18.3%
Nebraska$42$157226961-18.9%
Mississippi$41$1802471,183-19.3%
Louisiana$41$1854041,691-20.0%
New Hampshire$41$258185755-20.9%
Alabama$40$1464581,686-21.3%
South Carolina$40$2164562,299-21.9%
Missouri$39$1496552,849-24.1%
Pennsylvania$39$1611,2945,581-24.5%
Wisconsin$38$3306802,193-25.0%
Idaho$38$208175645-25.5%
Indiana$38$1545492,267-25.5%
Kentucky$38$1423141,527-26.5%
Michigan$38$1368223,853-26.7%
Arkansas$38$1312651,396-26.8%
Montana$37$12794475-27.5%
North Dakota$37$14895396-28.6%
Maine$36$162143574-29.5%
Oklahoma$36$1493121,486-29.7%
Ohio$36$1899364,036-30.6%
Vermont$33$18647284-35.0%
West Virginia$32$148157805-37.2%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber