76872

Ultrasound scan of pelvic region through rectum

Medicare pricing data for 11,790 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $32 in North Dakota to $140 in Alaska. 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 pelvic region through rectum (HCPCS code 76872) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $94.87, but hospitals typically charge $379.16 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$18.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $94.87, your out-of-pocket cost would be approximately $18.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$94.87
Average Hospital Charge
$379.16
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$379.16
Medicare Allowed$94.87
Medicare Payment$73.95

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $73.95 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$140$94018372+47.2%
New York$139$42974620,155+46.0%
California$127$3611,12823,077+34.4%
New Jersey$122$57845411,812+28.3%
Puerto Rico$121$17788341+27.4%
Minnesota$110$5791952,370+16.3%
Illinois$105$4584658,378+10.7%
Utah$101$298921,503+6.9%
North Carolina$101$2993464,702+6.7%
Washington$99$3051974,018+4.7%
Colorado$99$5672144,226+4.6%
Nevada$99$365741,633+4.5%
Oregon$99$4121261,950+4.3%
Michigan$98$2834464,665+3.6%
Texas$98$45884312,760+3.5%
Arizona$96$3172877,616+0.8%
Florida$94$3381,06119,930-0.8%
New Mexico$94$26749525-0.8%
Massachusetts$94$4152945,114-1.1%
Missouri$92$3652242,957-2.7%
Iowa$92$3781011,840-3.5%
Alabama$89$3521682,071-5.9%
Wyoming$87$55519279-8.4%
Hawaii$86$39129367-9.0%
Idaho$84$24453917-12.0%
Connecticut$83$4281451,515-12.6%
District of Columbia$82$30836501-13.9%
Montana$82$250431,122-14.0%
Indiana$81$3242983,930-14.8%
Delaware$79$236511,080-16.3%
Wisconsin$77$6862272,285-19.1%
Kentucky$74$217862,103-22.4%
Virginia$72$2492896,630-23.8%
Pennsylvania$72$6014768,012-23.9%
Louisiana$72$2752102,363-24.3%
Tennessee$70$2242506,222-25.8%
South Carolina$70$3081884,369-26.1%
Maine$69$24438260-27.3%
Oklahoma$65$1761311,800-31.1%
New Hampshire$64$32763820-32.6%
Kansas$63$2471012,151-33.9%
Ohio$61$2934266,342-35.9%
Georgia$58$3313157,045-38.8%
Arkansas$56$180901,925-40.6%
Mississippi$56$216992,159-41.4%
Maryland$54$3962447,690-43.4%
Nebraska$53$336952,185-44.0%
Rhode Island$52$26439525-45.0%
South Dakota$38$218271,118-59.9%
West Virginia$36$16153440-62.3%
Vermont$32$10822283-66.4%
North Dakota$32$29716315-66.5%

⚠️ 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