93314

Interpretation and report of ultrasound of heart

Medicare pricing data for 1,779 providers across 46 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

Interpretation and report of ultrasound of heart (HCPCS code 93314) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $89.50, but hospitals typically charge $367.39 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $89.50, your out-of-pocket cost would be approximately $17.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$89.50
Average Hospital Charge
$367.39
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$367.39
Medicare Allowed$89.50
Medicare Payment$70.88

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $70.88 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$98$50756849+9.9%
New Jersey$96$62035143+7.6%
District of Columbia$95$3759242+6.2%
Maryland$94$236539+5.4%
California$94$3552102,288+4.9%
Massachusetts$94$39442975+4.6%
North Carolina$92$3123499+2.5%
Florida$91$2532281,904+1.3%
Oregon$90$39624175+1.1%
Illinois$90$32583238+0.7%
Rhode Island$89$325212-0.0%
Delaware$89$2741190-0.2%
New Hampshire$89$552621-0.3%
Hawaii$89$772512-0.5%
Colorado$89$48329269-0.7%
Ohio$89$27498459-0.8%
West Virginia$88$913721-1.4%
Wyoming$88$1,109245-1.6%
Nevada$88$22915194-2.2%
Tennessee$88$46421175-2.2%
Texas$88$32588510-2.2%
Pennsylvania$87$27761476-2.4%
Michigan$87$32639166-2.6%
Arizona$87$51928336-3.1%
Georgia$86$31062269-3.5%
Virginia$86$27848212-3.6%
Washington$86$24136104-3.9%
Oklahoma$86$21221102-4.1%
Missouri$86$21135306-4.2%
Maine$86$2031419-4.2%
Utah$86$2242890-4.2%
Minnesota$86$50759732-4.4%
Kentucky$86$2151957-4.5%
South Carolina$85$21224143-5.0%
South Dakota$85$348812-5.4%
Louisiana$85$44617119-5.5%
North Dakota$84$2411092-5.6%
Kansas$84$29933250-6.2%
Mississippi$84$60238745-6.4%
Alabama$84$21439215-6.4%
Wisconsin$83$76735120-6.8%
Idaho$83$1991129-7.1%
Arkansas$83$4976297-7.2%
Indiana$83$24052280-7.5%
Iowa$82$23920248-7.9%
Nebraska$78$2661632-12.7%

⚠️ 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