93925

Ultrasound of leg arteries or artery grafts

Medicare pricing data for 31,480 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $36 in Vermont to $229 in Hawaii. 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 leg arteries or artery grafts (HCPCS code 93925) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $175.38, but hospitals typically charge $458.96 — a 2.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$35.08

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $175.38, your out-of-pocket cost would be approximately $35.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$175.38
Average Hospital Charge
$458.96
Markup Ratio
2.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$458.96
Medicare Allowed$175.38
Medicare Payment$135.09

Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $135.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$229$521862,996+30.6%
California$228$4703,254114,046+29.8%
New York$225$5481,91859,565+28.2%
New Jersey$221$5191,08928,537+25.9%
Arizona$209$57587121,445+18.9%
District of Columbia$203$485932,596+16.0%
Puerto Rico$196$2512251,558+12.0%
Maryland$196$43165729,367+11.8%
Utah$190$5611261,464+8.1%
Nevada$189$4644588,092+7.7%
Connecticut$182$5792943,691+3.7%
Florida$181$4593,17162,769+3.4%
Texas$169$5363,26353,566-3.4%
Washington$161$4244286,867-8.2%
Virginia$159$43457610,189-9.5%
Michigan$157$37792817,669-10.3%
Georgia$157$53995015,057-10.7%
Massachusetts$156$5683454,941-10.8%
Delaware$150$386822,018-14.4%
North Carolina$149$45895215,361-14.9%
Illinois$147$5231,11125,533-16.5%
Alaska$144$86761878-17.8%
Rhode Island$143$452521,421-18.6%
Louisiana$140$47370110,927-20.4%
Wyoming$139$53856360-20.6%
Alabama$139$28981610,335-20.7%
Colorado$134$3933973,870-23.8%
Tennessee$133$4131,00217,580-24.4%
South Carolina$124$5034689,731-29.6%
New Mexico$121$3711462,914-31.2%
Pennsylvania$119$3161,05320,883-32.3%
Mississippi$115$3823296,937-34.4%
Kentucky$115$3043054,282-34.5%
Oregon$113$3532463,012-35.7%
South Dakota$112$4041182,989-36.0%
Arkansas$110$3482763,935-37.3%
Kansas$109$3264145,649-37.9%
Missouri$101$3075698,066-42.3%
Montana$98$30671484-44.1%
Iowa$95$3461842,526-45.6%
Maine$94$30678582-46.2%
New Hampshire$94$49998855-46.6%
Indiana$90$2514306,422-48.9%
Wisconsin$87$7413582,794-50.2%
Ohio$80$2346868,595-54.3%
Nebraska$80$2731574,089-54.6%
Oklahoma$80$2515077,213-54.6%
Minnesota$79$3186375,019-55.0%
West Virginia$76$2731662,394-56.9%
Idaho$75$2871211,125-57.0%
North Dakota$52$27259466-70.6%
Vermont$36$7013127-79.6%

⚠️ 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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