92979

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel

Medicare pricing data for 3,625 providers across 50 states

🤖AI Overview

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 evaluation of heart blood vessel or graft with review by radiologist, each additional vessel (HCPCS code 92979) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $74.05, but hospitals typically charge $288.35 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.81

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $74.05, your out-of-pocket cost would be approximately $14.81. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$74.05
Average Hospital Charge
$288.35
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$288.35
Medicare Allowed$74.05
Medicare Payment$59.12

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $59.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$95$5701170+28.8%
New York$87$3802071,089+16.9%
District of Columbia$81$268915+9.6%
Maryland$79$25435169+6.4%
New Jersey$79$30993438+6.0%
Illinois$78$295156626+5.7%
Florida$78$233226886+5.1%
Michigan$77$267159641+4.1%
Massachusetts$77$29376534+3.7%
Connecticut$77$39348191+3.5%
California$76$2882861,694+2.7%
Virginia$75$21196455+1.1%
Rhode Island$74$2441047+0.5%
Nevada$74$25445190-0.1%
West Virginia$74$26528150-0.3%
New Mexico$74$22320133-0.5%
New Hampshire$74$5451699-0.6%
Colorado$73$24465311-0.9%
Ohio$73$225149746-1.0%
Hawaii$73$175752-1.0%
Montana$73$2332073-1.1%
Pennsylvania$73$268127569-1.3%
Washington$73$224105847-1.5%
Louisiana$73$35572267-1.6%
Georgia$73$307120806-1.7%
Wyoming$73$886370-1.8%
Texas$72$2822911,172-2.7%
Missouri$72$37798602-2.7%
Iowa$72$4282667-3.0%
Utah$71$22228126-3.5%
Oregon$71$20442227-3.5%
Arizona$71$193125489-4.3%
Oklahoma$70$16362244-4.8%
North Carolina$70$358102481-5.6%
Maine$70$182616-5.6%
Mississippi$70$2492689-5.8%
Vermont$70$464623-6.0%
Kansas$69$30827112-6.2%
Minnesota$69$33664257-6.8%
South Carolina$69$36352251-6.8%
North Dakota$69$3931472-6.9%
Kentucky$68$22960304-8.2%
Arkansas$68$24048244-8.2%
South Dakota$68$14612147-8.2%
Wisconsin$68$72755206-8.5%
Indiana$68$23179316-8.7%
Nebraska$67$18931144-9.4%
Alabama$67$24546187-9.5%
Idaho$67$2011571-9.7%
Tennessee$67$26695581-10.0%

⚠️ 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

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