93567

Injection for imaging of aorta above heart valve with review by radiologist

Medicare pricing data for 3,706 providers across 49 states

🤖AI Overview

This procedure has a 7.9x markup — hospitals charge $295.29 but Medicare allows only $37.41. Uninsured patients may face bills 7.9 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

Injection for imaging of aorta above heart valve with review by radiologist (HCPCS code 93567) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.41, but hospitals typically charge $295.29 — a 7.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.48

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $37.41, your out-of-pocket cost would be approximately $7.48. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$37.41
Average Hospital Charge
$295.29
Markup Ratio
7.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$295.29
Medicare Allowed$37.41
Medicare Payment$29.86

Hospitals charge 7.9x more than what Medicare allows for this procedure. Medicare actually pays $29.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$47$1,852824+25.8%
New York$45$490190994+21.0%
District of Columbia$41$1959174+9.6%
Florida$40$2053731,829+7.9%
Maryland$40$15959355+7.0%
Illinois$40$295156477+6.2%
New Jersey$39$286109476+5.4%
Michigan$39$181154486+4.9%
New Mexico$39$1921450+3.3%
Massachusetts$39$37355104+3.1%
Connecticut$38$3372133+1.9%
Nevada$38$21146296+0.4%
Pennsylvania$37$283173762-0.3%
Washington$37$26061118-1.1%
Puerto Rico$37$901450-1.1%
Louisiana$37$252111299-1.5%
West Virginia$37$20126106-1.7%
Virginia$37$19374120-1.8%
Delaware$37$1881552-2.0%
Georgia$37$33783267-2.3%
Ohio$37$43788188-2.4%
California$36$2863462,368-2.5%
Hawaii$36$277817-2.8%
Montana$36$2081324-3.1%
Texas$36$418281891-3.3%
Colorado$36$21636102-3.4%
Missouri$36$317105336-3.7%
Arizona$36$19789221-3.9%
Utah$36$1541770-4.4%
Wyoming$35$2,265835-5.5%
Oklahoma$35$18259374-5.9%
Oregon$35$1863168-6.2%
Kentucky$35$1654486-6.4%
Alabama$35$23577299-6.6%
North Carolina$35$40686256-6.7%
New Hampshire$35$895819-7.3%
South Carolina$35$35554231-7.4%
North Dakota$34$6091335-8.6%
Mississippi$34$21641217-9.4%
Minnesota$34$4664459-9.7%
Kansas$34$24933106-9.8%
South Dakota$34$3081326-9.9%
Indiana$34$29699246-10.3%
Wisconsin$34$1,27558115-10.3%
Tennessee$33$241114275-10.6%
Iowa$33$37234195-11.9%
Arkansas$33$19983959-12.0%
Idaho$33$1671530-12.9%
Nebraska$33$3231535-13.0%

⚠️ 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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