Ultrasonic guidance during surgery
Medicare pricing data for 4,950 providers across 51 states
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 during surgery (HCPCS code 76998) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $66.66, but hospitals typically charge $278.26 — a 4.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $66.66, your out-of-pocket cost would be approximately $13.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $53.06 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $99 | $363 | 119 | 825 | +47.8% |
| Texas | $81 | $328 | 391 | 3,021 | +20.9% |
| Kansas | $77 | $217 | 52 | 276 | +15.5% |
| New York | $75 | $390 | 313 | 1,679 | +12.6% |
| Florida | $72 | $250 | 330 | 2,471 | +8.1% |
| Alaska | $72 | $555 | 13 | 68 | +7.3% |
| New Jersey | $70 | $400 | 129 | 499 | +4.4% |
| Illinois | $69 | $268 | 211 | 1,024 | +3.7% |
| District of Columbia | $67 | $289 | 14 | 65 | +0.2% |
| California | $66 | $248 | 502 | 3,474 | -0.8% |
| Oklahoma | $65 | $235 | 52 | 433 | -2.6% |
| Massachusetts | $63 | $253 | 184 | 891 | -4.8% |
| Connecticut | $63 | $206 | 60 | 162 | -5.0% |
| Virginia | $63 | $208 | 117 | 794 | -5.2% |
| Colorado | $63 | $355 | 78 | 269 | -5.2% |
| Missouri | $63 | $299 | 99 | 563 | -6.2% |
| Louisiana | $62 | $330 | 80 | 339 | -6.3% |
| Pennsylvania | $62 | $233 | 229 | 973 | -6.4% |
| Michigan | $62 | $297 | 120 | 412 | -7.5% |
| Washington | $61 | $208 | 117 | 717 | -8.3% |
| Georgia | $61 | $275 | 137 | 1,128 | -8.8% |
| Ohio | $61 | $231 | 158 | 846 | -9.0% |
| West Virginia | $61 | $229 | 12 | 73 | -9.2% |
| New Hampshire | $60 | $344 | 38 | 325 | -9.5% |
| Rhode Island | $60 | $201 | 17 | 54 | -9.8% |
| South Carolina | $60 | $394 | 82 | 690 | -10.3% |
| New Mexico | $60 | $287 | 17 | 55 | -10.4% |
| Delaware | $60 | $262 | 14 | 79 | -10.5% |
| Minnesota | $60 | $348 | 127 | 519 | -10.6% |
| North Carolina | $59 | $229 | 129 | 524 | -10.8% |
| Arizona | $59 | $216 | 125 | 890 | -11.0% |
| Wyoming | $59 | $248 | 5 | 13 | -11.5% |
| Oregon | $59 | $191 | 75 | 367 | -11.9% |
| Utah | $59 | $338 | 43 | 157 | -12.1% |
| Hawaii | $58 | $424 | 12 | 144 | -13.1% |
| Kentucky | $58 | $155 | 36 | 179 | -13.1% |
| Maine | $58 | $241 | 25 | 65 | -13.4% |
| North Dakota | $58 | $188 | 9 | 20 | -13.4% |
| Vermont | $57 | $289 | 15 | 80 | -13.8% |
| Indiana | $57 | $252 | 92 | 643 | -13.8% |
| Wisconsin | $57 | $384 | 116 | 644 | -13.9% |
| Idaho | $57 | $221 | 19 | 83 | -14.0% |
| Alabama | $57 | $262 | 56 | 420 | -15.2% |
| Tennessee | $56 | $216 | 114 | 662 | -15.3% |
| South Dakota | $56 | $161 | 12 | 20 | -15.4% |
| Nevada | $56 | $220 | 29 | 295 | -16.3% |
| Iowa | $56 | $225 | 55 | 322 | -16.4% |
| Mississippi | $56 | $172 | 20 | 88 | -16.6% |
| Arkansas | $55 | $200 | 28 | 176 | -16.8% |
| Nebraska | $55 | $167 | 52 | 486 | -17.6% |
| Montana | $54 | $188 | 15 | 42 | -18.6% |
⚠️ 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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