Measurement of liver stiffness
Medicare pricing data for 3,966 providers across 52 states
This procedure has a 5.7x markup — hospitals charge $122.93 but Medicare allows only $21.39. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. Prices vary significantly by location — from $9 in North Dakota to $33 in District of Columbia. 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
Measurement of liver stiffness (HCPCS code 91200) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.39, but hospitals typically charge $122.93 — a 5.7x 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 $21.39, your out-of-pocket cost would be approximately $4.28. 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 5.7x more than what Medicare allows for this procedure. Medicare actually pays $15.54 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $33 | $97 | 16 | 84 | +52.8% |
| Puerto Rico | $31 | $142 | 10 | 65 | +42.7% |
| Rhode Island | $29 | $138 | 9 | 173 | +37.1% |
| Wyoming | $28 | $295 | 5 | 102 | +29.2% |
| Nevada | $28 | $192 | 25 | 280 | +28.6% |
| California | $26 | $134 | 384 | 6,596 | +21.7% |
| New York | $26 | $158 | 289 | 4,575 | +19.8% |
| Maryland | $25 | $94 | 92 | 697 | +18.2% |
| New Jersey | $25 | $110 | 133 | 1,408 | +16.5% |
| Texas | $25 | $132 | 320 | 4,072 | +15.8% |
| Florida | $24 | $196 | 211 | 4,238 | +14.4% |
| Mississippi | $24 | $125 | 79 | 2,483 | +12.2% |
| Connecticut | $24 | $199 | 46 | 539 | +12.1% |
| Tennessee | $22 | $87 | 109 | 2,252 | +3.6% |
| Washington | $22 | $77 | 55 | 969 | +3.2% |
| Nebraska | $22 | $76 | 37 | 272 | +2.5% |
| Georgia | $22 | $129 | 86 | 762 | +1.6% |
| Arkansas | $22 | $104 | 34 | 499 | +1.4% |
| Colorado | $22 | $87 | 68 | 599 | +1.2% |
| Louisiana | $22 | $157 | 80 | 609 | +0.7% |
| Oregon | $21 | $102 | 33 | 310 | +0.2% |
| Alabama | $21 | $47 | 47 | 312 | +0.2% |
| West Virginia | $21 | $100 | 25 | 380 | -1.5% |
| New Hampshire | $20 | $69 | 32 | 501 | -5.1% |
| Hawaii | $20 | $75 | 30 | 213 | -6.2% |
| Kansas | $20 | $132 | 28 | 341 | -6.3% |
| North Carolina | $20 | $146 | 160 | 1,421 | -7.6% |
| Pennsylvania | $20 | $88 | 225 | 1,990 | -7.6% |
| Illinois | $18 | $125 | 163 | 2,243 | -14.8% |
| Indiana | $18 | $75 | 68 | 1,387 | -16.6% |
| Massachusetts | $17 | $90 | 128 | 2,698 | -18.9% |
| Minnesota | $17 | $146 | 72 | 752 | -19.7% |
| Missouri | $17 | $153 | 67 | 1,275 | -21.5% |
| Ohio | $17 | $97 | 170 | 2,289 | -21.9% |
| Iowa | $17 | $73 | 44 | 493 | -22.4% |
| Arizona | $17 | $107 | 77 | 1,367 | -22.5% |
| Utah | $16 | $65 | 47 | 687 | -23.6% |
| Michigan | $16 | $87 | 78 | 894 | -24.2% |
| Wisconsin | $16 | $217 | 90 | 607 | -24.9% |
| South Carolina | $16 | $56 | 33 | 252 | -25.2% |
| South Dakota | $16 | $29 | 16 | 199 | -26.1% |
| Maine | $15 | $157 | 15 | 185 | -28.1% |
| New Mexico | $15 | $130 | 35 | 447 | -28.9% |
| Virginia | $14 | $104 | 74 | 1,470 | -35.3% |
| Alaska | $13 | $136 | 5 | 120 | -38.9% |
| Oklahoma | $13 | $50 | 18 | 233 | -41.4% |
| Kentucky | $11 | $41 | 45 | 562 | -46.4% |
| Montana | $10 | $32 | 3 | 75 | -51.1% |
| Idaho | $10 | $28 | 8 | 62 | -52.9% |
| Delaware | $9 | $54 | 1 | 14 | -57.1% |
| Vermont | $9 | $25 | 4 | 68 | -57.8% |
| North Dakota | $9 | $40 | 19 | 208 | -58.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber