93571

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel

Medicare pricing data for 7,283 providers across 52 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $360.73 but Medicare allows only $65.69. Uninsured patients may face bills 5.5 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

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS code 93571) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.69, but hospitals typically charge $360.73 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $65.69, your out-of-pocket cost would be approximately $13.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$65.69
Average Hospital Charge
$360.73
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$360.73
Medicare Allowed$65.69
Medicare Payment$52.44

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $52.44 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$91$1,23010208+38.7%
New York$80$5423913,716+22.3%
District of Columbia$78$30315143+18.4%
Illinois$74$4072912,580+12.6%
Connecticut$73$57277542+10.8%
Massachusetts$73$3621341,748+10.5%
New Jersey$72$4932221,771+10.3%
Michigan$72$3632671,801+10.2%
California$72$3416114,424+9.8%
Maryland$72$32394932+9.5%
Puerto Rico$71$162918+7.4%
Montana$70$27826384+6.8%
Delaware$70$21024271+6.6%
Washington$70$2351491,877+6.5%
Rhode Island$70$3841490+6.5%
Nevada$70$23472490+6.5%
New Hampshire$70$48528333+6.3%
Wyoming$69$1,476895+5.1%
Hawaii$69$16713118+4.3%
Oregon$68$26462471+4.0%
Arizona$68$1892161,781+3.5%
Missouri$68$3291791,783+3.2%
Florida$67$3475684,795+2.7%
Utah$67$29652555+2.4%
Maine$67$26419152+1.8%
Vermont$66$3781182+0.7%
North Dakota$66$31620312+0.2%
Kansas$65$45162674-0.9%
Texas$65$3886473,683-1.7%
Louisiana$64$482162936-2.1%
Indiana$64$2461761,521-2.6%
Mississippi$64$32482751-2.7%
Idaho$64$22331302-2.8%
Minnesota$64$2541081,151-2.8%
Iowa$64$30568966-2.9%
South Dakota$63$20516123-3.5%
Nebraska$63$20849519-3.6%
Wisconsin$63$8201241,211-3.9%
West Virginia$62$35543353-6.3%
Arkansas$60$25194849-8.6%
Pennsylvania$60$3603252,849-9.0%
Georgia$59$4372101,704-10.4%
Colorado$58$26494725-11.3%
New Mexico$57$25926229-12.6%
Virginia$57$2831741,462-12.8%
Oklahoma$57$2521141,001-13.5%
Kentucky$56$2021131,120-15.3%
Ohio$55$3193042,815-16.2%
South Carolina$55$443122916-16.9%
Alabama$54$256112775-17.4%
North Carolina$50$3401971,854-23.2%
Tennessee$50$2831891,491-23.4%

⚠️ 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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