3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects
Medicare pricing data for 2,426 providers across 44 states
This procedure has a 8.1x markup — hospitals charge $194.49 but Medicare allows only $24.04. Uninsured patients may face bills 8.1 times higher than what insurance negotiates. 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
3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects (HCPCS code 93319) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.04, but hospitals typically charge $194.49 — a 8.1x 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 $24.04, your out-of-pocket cost would be approximately $4.81. 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 8.1x more than what Medicare allows for this procedure. Medicare actually pays $18.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $31 | $704 | 2 | 13 | +30.9% |
| New Jersey | $26 | $140 | 31 | 431 | +6.9% |
| New York | $26 | $156 | 70 | 613 | +6.5% |
| California | $25 | $215 | 216 | 2,474 | +4.5% |
| Maryland | $25 | $111 | 37 | 272 | +4.4% |
| Connecticut | $25 | $137 | 38 | 325 | +4.2% |
| Massachusetts | $25 | $116 | 78 | 535 | +4.0% |
| Florida | $25 | $182 | 172 | 1,312 | +3.9% |
| Illinois | $25 | $269 | 109 | 928 | +2.6% |
| Pennsylvania | $24 | $161 | 155 | 1,215 | +1.6% |
| Washington | $24 | $122 | 105 | 772 | +0.7% |
| Rhode Island | $24 | $117 | 19 | 84 | 0.0% |
| Oregon | $24 | $166 | 22 | 87 | -0.1% |
| Michigan | $24 | $150 | 157 | 1,249 | -0.3% |
| Virginia | $24 | $90 | 93 | 606 | -0.3% |
| New Hampshire | $24 | $577 | 16 | 145 | -0.5% |
| Nevada | $24 | $118 | 38 | 226 | -1.2% |
| Colorado | $24 | $154 | 39 | 239 | -1.2% |
| Georgia | $24 | $89 | 29 | 109 | -1.6% |
| Hawaii | $24 | $229 | 8 | 98 | -1.7% |
| West Virginia | $24 | $76 | 12 | 40 | -1.8% |
| Montana | $24 | $484 | 16 | 215 | -1.9% |
| North Carolina | $24 | $147 | 24 | 85 | -2.0% |
| District of Columbia | $24 | $310 | 14 | 317 | -2.0% |
| Missouri | $24 | $119 | 79 | 859 | -2.2% |
| Texas | $23 | $209 | 140 | 1,339 | -2.4% |
| Arizona | $23 | $163 | 64 | 934 | -2.9% |
| Ohio | $23 | $158 | 87 | 1,345 | -3.2% |
| Utah | $23 | $99 | 37 | 232 | -3.3% |
| South Carolina | $23 | $116 | 29 | 143 | -3.6% |
| Minnesota | $23 | $194 | 104 | 533 | -3.7% |
| Louisiana | $23 | $134 | 14 | 222 | -3.9% |
| Iowa | $23 | $262 | 10 | 45 | -4.5% |
| Oklahoma | $23 | $143 | 14 | 223 | -4.7% |
| South Dakota | $23 | $201 | 4 | 17 | -4.8% |
| Alabama | $23 | $115 | 31 | 433 | -5.1% |
| Wisconsin | $23 | $740 | 56 | 559 | -5.2% |
| Indiana | $23 | $232 | 65 | 370 | -5.8% |
| Kentucky | $23 | $203 | 38 | 284 | -5.8% |
| Kansas | $23 | $335 | 23 | 214 | -5.8% |
| Tennessee | $22 | $229 | 39 | 422 | -6.4% |
| Nebraska | $22 | $181 | 41 | 305 | -6.5% |
| Arkansas | $22 | $128 | 11 | 169 | -8.1% |
| Mississippi | $22 | $128 | 1 | 73 | -8.5% |
⚠️ 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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