93320

Ultrasound of heart blood flow, valves and chambers

Medicare pricing data for 19,955 providers across 52 states

🤖AI Overview

This procedure has a 6.9x markup — hospitals charge $169.86 but Medicare allows only $24.53. Uninsured patients may face bills 6.9 times higher than what insurance negotiates. Prices vary significantly by location — from $17 in South Dakota to $37 in California. 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 blood flow, valves and chambers (HCPCS code 93320) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.53, but hospitals typically charge $169.86 — a 6.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.91

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.53, your out-of-pocket cost would be approximately $4.91. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.53
Average Hospital Charge
$169.86
Markup Ratio
6.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$169.86
Medicare Allowed$24.53
Medicare Payment$19.28

Hospitals charge 6.9x more than what Medicare allows for this procedure. Medicare actually pays $19.28 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$37$1701,96440,512+52.3%
New York$36$3031,54733,444+46.4%
Wyoming$33$37620131+33.1%
Delaware$29$36041234+18.9%
Alaska$29$32139751+18.5%
Rhode Island$29$12288773+17.8%
Maryland$29$1432754,449+17.1%
Montana$29$127802,687+16.7%
Kansas$28$1591812,969+14.3%
North Carolina$24$18077010,045-1.9%
New Jersey$24$1705057,535-2.3%
Texas$24$2271,51622,923-3.2%
Arizona$23$2294337,823-5.1%
Massachusetts$23$1205098,233-5.7%
Puerto Rico$22$5735188-9.0%
Utah$22$821351,774-10.9%
Nevada$22$1491501,712-11.6%
Virginia$21$1104676,708-12.6%
Connecticut$21$1932462,673-13.0%
Pennsylvania$21$1821,13616,675-14.6%
Michigan$21$13381010,402-15.7%
Florida$20$1161,57825,419-17.2%
South Carolina$20$1953134,825-17.6%
Minnesota$20$1683673,761-17.9%
Oregon$20$1081932,278-18.1%
District of Columbia$20$9468949-18.3%
Alabama$20$962664,197-19.5%
Georgia$20$1275285,850-20.3%
Washington$19$1453373,394-21.4%
Colorado$19$1663113,243-22.6%
Missouri$19$1974779,402-23.2%
Louisiana$19$1012493,102-24.3%
Illinois$18$13284413,971-24.9%
New Hampshire$18$1071102,209-25.2%
Wisconsin$18$2943243,546-25.6%
Iowa$18$861141,757-25.6%
Arkansas$18$801683,875-26.3%
Ohio$18$1008228,054-26.3%
Idaho$18$6439448-26.9%
Hawaii$18$19237537-27.9%
Indiana$18$1014998,360-28.4%
Kentucky$17$732703,849-29.3%
North Dakota$17$15624156-29.6%
Vermont$17$8224244-29.8%
New Mexico$17$11746421-30.1%
Maine$17$81981,375-30.4%
Oklahoma$17$1311753,271-30.6%
Tennessee$17$1693667,833-30.6%
Mississippi$17$1381422,844-30.7%
West Virginia$17$7368592-30.7%
Nebraska$17$671152,516-30.8%
South Dakota$17$811552-30.9%

⚠️ 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