76937

Ultrasonic guidance for blood vessel access

Medicare pricing data for 51,311 providers across 52 states

🤖AI Overview

This procedure has a 5.9x markup — hospitals charge $104.09 but Medicare allows only $17.57. Uninsured patients may face bills 5.9 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

Ultrasonic guidance for blood vessel access (HCPCS code 76937) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.57, but hospitals typically charge $104.09 — a 5.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.51

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.57, your out-of-pocket cost would be approximately $3.51. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.57
Average Hospital Charge
$104.09
Markup Ratio
5.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$104.09
Medicare Allowed$17.57
Medicare Payment$13.99

Hospitals charge 5.9x more than what Medicare allows for this procedure. Medicare actually pays $13.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$23$7588013,740+31.0%
Alaska$22$171841,466+25.7%
Connecticut$21$1626386,989+20.7%
New Jersey$21$1091,25719,571+17.6%
Arizona$20$1161,00613,536+14.1%
California$20$1055,23770,261+13.2%
New York$19$1253,26838,289+10.9%
South Dakota$19$771602,916+9.6%
Delaware$19$741622,044+7.1%
Florida$19$1044,33060,646+6.3%
Mississippi$19$933584,714+5.7%
Michigan$18$901,65116,121+5.2%
Virginia$18$851,40218,093+4.2%
District of Columbia$18$722142,459+4.1%
New Mexico$18$1052072,121+2.1%
Texas$17$1314,15848,044-0.6%
Tennessee$17$1111,12213,332-0.6%
Louisiana$17$1206937,212-2.2%
Massachusetts$17$801,63116,733-3.4%
North Carolina$17$971,58118,284-3.4%
Utah$17$702543,125-4.7%
Georgia$17$1181,64516,492-5.1%
Oregon$17$817197,133-5.7%
Illinois$17$1531,87323,938-6.0%
Puerto Rico$17$6678351-6.0%
Colorado$16$898797,709-7.3%
South Carolina$16$1286787,776-7.5%
Kansas$16$803644,722-7.9%
Alabama$16$796745,534-8.2%
Arkansas$16$844346,702-8.3%
Wyoming$16$10948381-8.9%
Nevada$16$1384915,085-11.2%
Rhode Island$16$701861,717-11.7%
Indiana$15$8595214,648-11.9%
Pennsylvania$15$801,99725,151-12.1%
Washington$15$961,31615,365-13.3%
Missouri$15$8797910,716-15.4%
Oklahoma$15$645549,297-15.9%
Ohio$15$892,02816,560-17.1%
Kentucky$14$649328,451-17.5%
New Hampshire$14$1492302,212-18.8%
Maine$14$741781,434-19.3%
West Virginia$14$792422,529-19.3%
Montana$14$811732,129-20.4%
Idaho$14$732012,404-20.5%
Minnesota$14$821,00313,005-20.9%
Nebraska$14$873544,520-22.1%
Wisconsin$14$1561,05311,424-22.3%
Hawaii$14$651491,289-22.3%
Iowa$13$1124124,183-23.2%
North Dakota$13$571162,185-23.4%
Vermont$13$9447708-24.2%

⚠️ 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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