93355

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report

Medicare pricing data for 2,563 providers across 51 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 of heart with probe in esophagus during surgery on heart or great blood vessels with report (HCPCS code 93355) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $222.10, but hospitals typically charge $793.75 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$44.42

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $222.10, your out-of-pocket cost would be approximately $44.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$222.10
Average Hospital Charge
$793.75
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$793.75
Medicare Allowed$222.10
Medicare Payment$174.76

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $174.76 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$298$1,671313+34.2%
New York$247$1,0161081,995+11.1%
New Jersey$237$837731,272+6.6%
California$234$7402593,256+5.2%
Maryland$232$632961+4.3%
Connecticut$231$77526238+4.2%
Massachusetts$231$85345745+4.1%
Oregon$230$70521182+3.4%
District of Columbia$229$79614155+2.9%
Virginia$228$62255435+2.5%
Illinois$226$7471351,461+1.6%
Washington$226$63045677+1.5%
Rhode Island$224$661578+0.9%
Hawaii$224$707451+0.8%
Delaware$223$634639+0.3%
New Hampshire$222$2,71413160+0.1%
Florida$222$6321672,113+0.1%
West Virginia$222$91512153+0.1%
Pennsylvania$222$6571501,095-0.2%
Nevada$222$1,0331191-0.3%
Colorado$222$88754886-0.3%
Michigan$221$59383845-0.5%
Puerto Rico$220$478633-1.0%
Maine$219$53112145-1.4%
Georgia$219$1,03048847-1.4%
Minnesota$218$1,03064512-2.0%
Texas$217$6941621,607-2.2%
Montana$217$64510151-2.4%
North Dakota$217$63914141-2.4%
New Mexico$217$509656-2.4%
Arizona$216$74854526-2.9%
Utah$215$61916245-3.2%
Missouri$215$65262731-3.3%
Ohio$215$1,3701241,138-3.3%
Vermont$214$1,114759-3.5%
North Carolina$214$75093879-3.7%
Louisiana$213$71048469-4.1%
Oklahoma$213$60131429-4.2%
Alabama$212$43229440-4.4%
Wisconsin$212$2,48864570-4.4%
Kentucky$212$55256472-4.5%
South Dakota$212$67814216-4.6%
Kansas$212$52449987-4.7%
South Carolina$212$68326336-4.7%
Nebraska$209$57524443-6.0%
Iowa$209$68236487-6.1%
Mississippi$208$49521102-6.4%
Idaho$208$57623270-6.5%
Tennessee$207$60142615-6.8%
Indiana$206$58677912-7.1%
Arkansas$205$60624268-7.5%

⚠️ 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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