93926

Ultrasound of one leg arteries or artery grafts

Medicare pricing data for 22,159 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $24 in North Dakota to $99 in Connecticut. 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 one leg arteries or artery grafts (HCPCS code 93926) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $67.58, but hospitals typically charge $263.92 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.52

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $67.58, your out-of-pocket cost would be approximately $13.52. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$67.58
Average Hospital Charge
$263.92
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$263.92
Medicare Allowed$67.58
Medicare Payment$51.38

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $51.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Connecticut$99$5032863,726+46.1%
New York$91$3601,16915,528+34.3%
New Jersey$88$3076397,967+29.9%
Maryland$86$23942611,856+27.1%
District of Columbia$85$271611,026+25.3%
Arizona$83$3184974,609+22.3%
Alaska$82$54756904+20.8%
Florida$80$2611,71017,541+19.0%
Delaware$78$301621,051+15.7%
California$75$2722,00317,669+10.8%
North Carolina$72$3006937,525+6.9%
Rhode Island$70$37152722+4.1%
Georgia$69$2786615,529+1.6%
Massachusetts$68$3543795,173+0.7%
Washington$68$2204194,376+0.5%
Tennessee$67$2376787,311-0.2%
Texas$67$2912,06317,535-0.6%
Hawaii$65$17453487-3.6%
Utah$65$242119838-3.9%
Virginia$65$2125106,569-4.5%
Colorado$64$2413692,597-4.6%
Montana$64$22266492-5.1%
South Carolina$64$2932963,347-5.5%
Alabama$63$1624873,215-6.4%
Michigan$63$2166005,500-6.6%
Wyoming$62$32640195-8.1%
Oregon$62$2082282,506-8.8%
Louisiana$61$2405033,737-9.9%
Nevada$60$2622421,579-10.7%
Indiana$57$1854063,536-14.9%
Iowa$56$2501752,360-16.6%
Illinois$56$3248548,453-17.1%
Mississippi$55$2112572,062-18.6%
Arkansas$55$1892241,648-18.9%
Kentucky$54$1622272,244-20.0%
Kansas$53$2193383,251-21.2%
Pennsylvania$52$1909269,399-23.5%
Puerto Rico$51$9749102-24.5%
Maine$50$19077791-26.2%
South Dakota$49$191881,298-27.6%
Idaho$45$17998792-32.9%
Missouri$45$1625174,785-33.2%
New Hampshire$44$276961,170-35.4%
Wisconsin$42$4744043,329-37.7%
New Mexico$41$197105878-38.8%
Nebraska$41$1511161,491-39.9%
Ohio$39$1425805,419-42.0%
Minnesota$39$2016354,711-42.2%
Oklahoma$38$1663912,807-44.3%
West Virginia$31$1431271,059-54.4%
Vermont$27$7725345-60.4%
North Dakota$24$14158564-64.6%

⚠️ 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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