Insertion of tube in bypass graft for diagnosis with review by radiologist
Medicare pricing data for 5,295 providers across 50 states
This procedure has a 5.9x markup — hospitals charge $1,358 but Medicare allows only $231.59. Uninsured patients may face bills 5.9 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
Insertion of tube in bypass graft for diagnosis with review by radiologist (HCPCS code 93455) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $231.59, but hospitals typically charge $1,358 — a 5.9x 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 $231.59, your out-of-pocket cost would be approximately $46.32. 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 5.9x more than what Medicare allows for this procedure. Medicare actually pays $182.59 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Louisiana | $279 | $1,815 | 140 | 387 | +20.3% |
| Oregon | $272 | $981 | 62 | 195 | +17.6% |
| Arizona | $269 | $1,413 | 138 | 458 | +16.3% |
| Texas | $264 | $1,802 | 405 | 1,118 | +13.9% |
| Oklahoma | $261 | $951 | 91 | 295 | +12.9% |
| Alaska | $261 | $8,105 | 13 | 61 | +12.8% |
| New York | $261 | $1,539 | 257 | 1,000 | +12.7% |
| Nevada | $260 | $1,784 | 48 | 109 | +12.2% |
| Florida | $257 | $1,110 | 384 | 1,258 | +11.1% |
| Kansas | $254 | $2,221 | 66 | 408 | +9.7% |
| Nebraska | $252 | $909 | 44 | 150 | +8.9% |
| District of Columbia | $242 | $1,012 | 13 | 99 | +4.5% |
| Illinois | $238 | $1,468 | 244 | 906 | +3.0% |
| Connecticut | $237 | $1,756 | 57 | 161 | +2.4% |
| Vermont | $236 | $1,382 | 10 | 68 | +1.9% |
| Massachusetts | $233 | $1,063 | 122 | 674 | +0.8% |
| Maryland | $233 | $945 | 65 | 354 | +0.5% |
| New Hampshire | $232 | $1,993 | 29 | 174 | +0.4% |
| New Jersey | $231 | $1,238 | 117 | 349 | -0.2% |
| Delaware | $228 | $812 | 18 | 68 | -1.4% |
| Hawaii | $225 | $706 | 7 | 11 | -2.9% |
| Montana | $225 | $1,022 | 28 | 125 | -3.0% |
| Georgia | $224 | $1,341 | 123 | 335 | -3.2% |
| Pennsylvania | $224 | $1,330 | 234 | 1,022 | -3.3% |
| Rhode Island | $223 | $1,297 | 9 | 14 | -3.7% |
| Michigan | $223 | $1,021 | 186 | 482 | -3.9% |
| Colorado | $220 | $863 | 76 | 240 | -4.8% |
| California | $220 | $1,382 | 365 | 1,198 | -4.9% |
| Virginia | $218 | $951 | 142 | 510 | -5.7% |
| Ohio | $217 | $1,573 | 217 | 854 | -6.2% |
| South Dakota | $217 | $1,718 | 24 | 151 | -6.5% |
| New Mexico | $216 | $1,197 | 18 | 29 | -6.5% |
| Washington | $216 | $764 | 120 | 375 | -6.9% |
| Utah | $215 | $973 | 39 | 109 | -7.4% |
| Maine | $214 | $1,296 | 24 | 137 | -7.6% |
| West Virginia | $213 | $1,093 | 40 | 134 | -7.9% |
| North Carolina | $213 | $1,062 | 152 | 488 | -7.9% |
| Missouri | $212 | $1,003 | 118 | 388 | -8.5% |
| Alabama | $211 | $1,271 | 85 | 291 | -9.1% |
| Mississippi | $210 | $1,581 | 68 | 227 | -9.3% |
| South Carolina | $210 | $1,509 | 84 | 231 | -9.3% |
| Indiana | $209 | $1,023 | 134 | 502 | -9.9% |
| North Dakota | $209 | $1,135 | 21 | 113 | -9.9% |
| Wisconsin | $207 | $3,382 | 104 | 453 | -10.4% |
| Iowa | $207 | $884 | 56 | 273 | -10.7% |
| Kentucky | $206 | $711 | 101 | 312 | -10.9% |
| Arkansas | $205 | $849 | 85 | 286 | -11.3% |
| Idaho | $202 | $737 | 30 | 98 | -12.6% |
| Tennessee | $199 | $861 | 142 | 419 | -14.0% |
| Minnesota | $197 | $1,260 | 101 | 574 | -14.8% |
⚠️ 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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