77003

Fluoroscopic guidance for spine or back muscle injection

Medicare pricing data for 6,651 providers across 51 states

🤖AI Overview

This procedure has a 5.8x markup — hospitals charge $232.24 but Medicare allows only $39.83. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. Prices vary significantly by location — from $27 in Wyoming to $117 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

Fluoroscopic guidance for spine or back muscle injection (HCPCS code 77003) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.83, but hospitals typically charge $232.24 — a 5.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $39.83, your out-of-pocket cost would be approximately $7.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$39.83
Average Hospital Charge
$232.24
Markup Ratio
5.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$232.24
Medicare Allowed$39.83
Medicare Payment$31.48

Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $31.48 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$117$83226465+192.7%
Nebraska$61$22638142+54.4%
New Jersey$61$829100273+52.2%
Nevada$54$39584194+36.8%
Arizona$50$450144630+25.8%
Maryland$48$200109384+19.3%
Florida$47$2805382,167+18.7%
New Mexico$45$1703479+13.6%
Oregon$45$141118309+13.2%
New York$44$224231978+11.2%
Washington$43$164176666+7.6%
Michigan$42$164220761+6.3%
California$42$2065261,827+5.5%
Texas$40$3085451,884-0.4%
South Dakota$39$1312990-1.8%
Oklahoma$38$19998455-3.7%
Minnesota$38$202139554-5.1%
Colorado$37$190147455-6.5%
Illinois$37$2272871,060-8.3%
Alabama$36$12798421-8.6%
Pennsylvania$34$163302992-14.1%
Idaho$34$26458218-14.3%
Utah$34$13277230-15.2%
Kentucky$33$14076260-16.0%
Virginia$33$129174639-16.6%
Connecticut$33$16858188-16.7%
Massachusetts$33$136144407-17.6%
North Carolina$33$178246778-17.9%
Indiana$32$183160511-18.8%
Georgia$32$247223646-19.3%
Ohio$32$201271857-20.8%
South Carolina$31$200138704-21.1%
District of Columbia$31$1452168-21.4%
Tennessee$30$216146521-23.4%
Arkansas$30$12792382-23.5%
Kansas$30$8967342-23.9%
Missouri$30$145117465-24.4%
Louisiana$30$24999358-25.2%
Hawaii$29$791019-26.6%
Vermont$29$148532-27.2%
Rhode Island$29$1351849-28.3%
North Dakota$28$1211324-29.4%
Montana$28$1122874-29.6%
Mississippi$28$14285393-29.6%
West Virginia$28$1653171-29.8%
New Hampshire$28$1283472-30.0%
Maine$28$1131736-30.9%
Iowa$27$16454149-32.0%
Delaware$27$1351746-32.3%
Wisconsin$27$268127299-32.5%
Wyoming$27$208829-33.1%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber