93930

Ultrasound of arm arteries or artery grafts

Medicare pricing data for 7,082 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $35 in Nebraska to $180 in California. 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 arm arteries or artery grafts (HCPCS code 93930) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $131.34, but hospitals typically charge $327.56 — a 2.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $131.34, your out-of-pocket cost would be approximately $26.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$131.34
Average Hospital Charge
$327.56
Markup Ratio
2.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$327.56
Medicare Allowed$131.34
Medicare Payment$102.06

Hospitals charge 2.5x more than what Medicare allows for this procedure. Medicare actually pays $102.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$180$3268475,950+37.3%
New York$170$3604273,291+29.8%
New Jersey$167$3822371,188+27.0%
Arizona$155$478197616+18.1%
Nevada$146$489104273+11.4%
Puerto Rico$145$2032742+10.7%
Hawaii$134$3751725+2.4%
Maryland$134$353138436+1.9%
Texas$121$4206541,615-7.8%
Florida$121$3236581,594-8.2%
Alaska$115$6731633-12.2%
Washington$113$281144418-14.2%
Connecticut$104$4125995-20.9%
North Carolina$103$352186384-21.7%
Utah$101$2912769-23.1%
District of Columbia$101$3141950-23.3%
Virginia$97$276150333-26.1%
Michigan$92$250255554-30.1%
Kansas$91$3035798-31.1%
Georgia$90$351203448-31.8%
Illinois$86$436241511-34.3%
Louisiana$86$299136236-34.5%
Tennessee$82$296195382-37.8%
Alabama$80$229174294-39.2%
New Mexico$79$2243267-39.7%
South Carolina$79$331132248-39.7%
Massachusetts$78$29584128-40.3%
Delaware$77$38739127-41.3%
West Virginia$75$2723568-42.7%
Pennsylvania$73$225302855-44.7%
Indiana$71$16868150-46.3%
Colorado$70$27075114-46.5%
Missouri$66$244134202-49.5%
Kentucky$62$15963189-52.9%
Oklahoma$61$160119202-53.5%
Mississippi$61$25954110-53.6%
Oregon$59$17970229-55.4%
South Dakota$58$2273567-55.7%
Minnesota$58$273116239-56.0%
Arkansas$53$20769167-59.8%
Ohio$51$209199599-61.4%
Iowa$47$26247179-64.6%
Idaho$38$1693052-70.7%
Montana$38$1712186-71.2%
Rhode Island$37$3011014-71.6%
North Dakota$36$1461627-72.3%
Wyoming$36$841115-72.5%
Wisconsin$36$2345795-72.6%
New Hampshire$35$2931214-73.1%
Nebraska$35$2043289-73.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber

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