93307

Ultrasound of heart

Medicare pricing data for 2,890 providers across 41 states

🤖AI Overview

Prices vary significantly by location — from $41 in Iowa to $145 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

Ultrasound of heart (HCPCS code 93307) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $59.58, but hospitals typically charge $213.79 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.92

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $59.58, your out-of-pocket cost would be approximately $11.92. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$59.58
Average Hospital Charge
$213.79
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$213.79
Medicare Allowed$59.58
Medicare Payment$45.42

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $45.42 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$145$741612+144.0%
Connecticut$97$4522894+62.1%
California$88$2462402,772+47.4%
Alabama$81$23128129+36.8%
Nevada$78$17321130+30.8%
Louisiana$74$2875595+24.3%
Puerto Rico$72$831678+20.3%
New York$70$2141451,050+18.1%
New Jersey$67$234191647+12.7%
Massachusetts$65$25275624+9.0%
North Carolina$63$246143865+6.3%
Florida$63$2423202,326+5.9%
Washington$63$286106343+5.2%
Arkansas$61$19118113+1.7%
Texas$58$2242241,537-3.2%
Ohio$57$22056198-3.7%
South Carolina$57$33857539-3.9%
Illinois$57$260136552-4.4%
Arizona$56$2393282-6.2%
Indiana$54$16080427-9.6%
Pennsylvania$54$173102512-9.7%
Maryland$52$19345540-12.1%
Oklahoma$50$11532141-15.6%
Virginia$50$164100715-15.9%
Colorado$50$165661,236-16.8%
Michigan$47$16970506-20.9%
Georgia$47$1791061,216-21.9%
Tennessee$46$15542311-22.5%
Mississippi$45$2091371-24.5%
Kentucky$45$11758636-25.1%
Missouri$44$26862373-26.6%
Maine$44$135318-26.9%
Oregon$43$156712-27.3%
Minnesota$43$1921219-28.0%
Kansas$43$22476662-28.3%
New Mexico$42$113615-28.7%
Vermont$42$22410143-29.3%
West Virginia$42$12218412-29.8%
Wisconsin$41$35420250-30.4%
Nebraska$41$1247760-30.4%
Iowa$41$10311256-31.9%

⚠️ 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