77049

Mri scan of both breasts

Medicare pricing data for 7,678 providers across 52 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $1,110 but Medicare allows only $201.05. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. Prices vary significantly by location — from $105 in Oklahoma to $303 in Maryland. 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

Mri scan of both breasts (HCPCS code 77049) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $201.05, but hospitals typically charge $1,110 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$40.21

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $201.05, your out-of-pocket cost would be approximately $40.21. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$201.05
Average Hospital Charge
$1,110
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,109.83
Medicare Allowed$201.05
Medicare Payment$152.93

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $152.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$303$1,4251342,511+50.6%
Nevada$299$1,28836641+48.6%
District of Columbia$272$1,206411,166+35.4%
New Mexico$270$2,377411,215+34.2%
Arizona$262$1,8391442,802+30.3%
New Jersey$259$1,5602294,600+28.8%
New York$253$1,29651810,800+26.0%
California$253$1,23968615,895+25.7%
Wyoming$248$92514162+23.4%
Hawaii$239$99630315+18.9%
Florida$233$1,41352412,054+16.1%
Arkansas$233$1,01944955+15.7%
Puerto Rico$231$28931141+14.9%
Colorado$226$9711472,125+12.6%
Alaska$217$2,32218235+8.0%
South Dakota$217$1,62027375+7.8%
Washington$215$1,0272413,413+7.2%
Tennessee$207$8411412,432+2.9%
Connecticut$201$9841481,392-0.1%
Minnesota$200$1,4821932,194-0.5%
Nebraska$183$788531,104-9.1%
North Carolina$182$1,1962652,695-9.4%
Oregon$178$966971,587-11.6%
Rhode Island$177$72337574-11.9%
Texas$176$1,2824116,046-12.7%
Virginia$173$1,4002384,624-13.7%
Montana$170$96526354-15.4%
Massachusetts$170$8372714,814-15.7%
Kansas$168$71694767-16.6%
Delaware$160$53917655-20.6%
Iowa$158$1,0411061,983-21.4%
Illinois$155$8063584,627-23.1%
New Hampshire$151$97346612-24.8%
Ohio$148$7222252,966-26.2%
Utah$148$62340375-26.6%
Georgia$148$7722212,409-26.6%
North Dakota$145$51015381-27.7%
Pennsylvania$144$6763906,483-28.3%
South Carolina$143$1,0421142,421-29.0%
Wisconsin$141$1,2682361,625-29.7%
Alabama$141$5551101,448-29.9%
Missouri$140$6801672,501-30.4%
Michigan$137$6662022,338-31.9%
Mississippi$136$80445541-32.3%
Indiana$129$6001422,175-35.7%
Idaho$122$49931382-39.2%
Louisiana$121$500100964-39.7%
Maine$120$53444338-40.4%
Kentucky$115$451741,067-43.0%
Vermont$108$56016150-46.1%
West Virginia$106$43826197-47.4%
Oklahoma$105$600691,745-47.6%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber