76981

Ultrasound scan of organ tissue for measuring elasticity

Medicare pricing data for 6,926 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $26 in Nebraska to $104 in Puerto Rico. 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 organ tissue for measuring elasticity (HCPCS code 76981) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $71.31, but hospitals typically charge $252.87 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.26

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $71.31, your out-of-pocket cost would be approximately $14.26. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$71.31
Average Hospital Charge
$252.87
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$252.87
Medicare Allowed$71.31
Medicare Payment$53.90

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $53.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$104$13319265+45.2%
New York$97$2743774,149+36.6%
Maryland$95$2572001,080+32.7%
New Jersey$93$4033613,120+30.2%
Arizona$89$3591622,779+24.9%
Florida$87$2785294,744+21.5%
South Dakota$86$121542+20.6%
District of Columbia$86$2761951+19.9%
Nevada$84$23641309+18.4%
Colorado$83$22784589+16.1%
Rhode Island$79$30853301+11.4%
California$78$2865234,630+10.0%
Hawaii$77$66630142+7.5%
Texas$76$2574574,223+6.7%
Alabama$76$1551931,577+6.0%
Kansas$75$13955170+5.8%
Alaska$72$63031140+1.3%
Louisiana$70$2191261,112-1.8%
Montana$70$24125174-2.2%
Virginia$69$2112271,654-2.7%
West Virginia$67$18640310-5.8%
Tennessee$67$2322011,282-6.4%
Georgia$66$2251451,124-7.6%
South Carolina$64$28387762-10.8%
Washington$61$217165768-14.8%
Massachusetts$59$1801941,480-17.8%
Minnesota$58$264116322-18.9%
Connecticut$57$246116681-20.3%
Mississippi$53$227781,000-25.4%
Ohio$53$2492972,096-26.1%
Missouri$52$161119551-26.6%
North Carolina$51$243184803-27.8%
Oklahoma$51$17446242-28.6%
Pennsylvania$51$2354323,185-29.0%
New Mexico$50$23638206-29.9%
Indiana$47$173121788-34.1%
Illinois$47$1742631,413-34.1%
Iowa$46$16142178-34.8%
Oregon$45$13694505-37.4%
Kentucky$43$15975414-39.5%
New Hampshire$43$26734178-39.8%
Michigan$40$160136727-44.5%
Arkansas$38$12574803-46.9%
Wisconsin$33$195143514-54.0%
Idaho$32$1213699-54.8%
Delaware$29$9420168-58.8%
Maine$29$10541106-59.1%
North Dakota$28$1221964-60.9%
Vermont$28$1711496-61.2%
Nebraska$26$941657-63.3%

⚠️ 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