93931

Ultrasound of one arm arteries or artery grafts

Medicare pricing data for 12,170 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $22 in Vermont to $95 in New Jersey. 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 arm arteries or artery grafts (HCPCS code 93931) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $57.28, but hospitals typically charge $214.95 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $57.28, your out-of-pocket cost would be approximately $11.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$57.28
Average Hospital Charge
$214.95
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$214.95
Medicare Allowed$57.28
Medicare Payment$44.45

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $44.45 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$95$3093613,623+66.3%
New York$77$2976814,420+34.6%
Hawaii$74$1882370+30.0%
Colorado$73$208193611+26.6%
Connecticut$71$316161417+23.3%
Arizona$68$266277734+18.8%
Wyoming$67$3272992+17.3%
District of Columbia$64$23837220+11.7%
Puerto Rico$63$1193355+9.7%
Virginia$62$2192641,081+8.7%
Rhode Island$62$20232104+7.7%
Florida$59$2151,0172,808+3.0%
Alaska$58$37442206+1.1%
Pennsylvania$58$1905452,885+0.9%
North Carolina$58$2154091,304+0.6%
Texas$57$2461,1023,134-1.1%
Louisiana$56$186230784-2.7%
Montana$56$16941106-3.1%
Nevada$55$251120292-4.8%
Georgia$54$218364907-4.9%
Maryland$54$1572531,301-5.2%
California$54$1911,0853,301-5.2%
Kansas$51$200164416-11.8%
Mississippi$47$179129329-17.4%
Washington$47$1502531,005-18.7%
Illinois$45$2474341,222-21.3%
Michigan$44$1663711,040-22.6%
South Carolina$44$196170578-23.6%
Alabama$43$120248569-24.3%
Iowa$42$18891301-26.1%
Tennessee$42$1553561,119-26.3%
Utah$42$16771162-26.6%
Kentucky$41$125114276-28.0%
Massachusetts$41$189224608-28.2%
Indiana$41$134207444-28.6%
Maine$41$1524380-29.0%
New Hampshire$41$19159117-29.1%
Oregon$39$115127396-32.7%
Minnesota$38$217319762-32.9%
Delaware$38$25249162-33.0%
Arkansas$37$120120328-34.6%
South Dakota$36$14153253-36.3%
Oklahoma$36$116219588-36.7%
Wisconsin$33$343197410-42.8%
Missouri$32$141242583-43.6%
New Mexico$30$14457152-46.9%
Nebraska$30$10869288-47.3%
Ohio$30$1163241,193-48.2%
West Virginia$28$12362216-50.9%
Idaho$28$14750110-51.9%
North Dakota$24$9129148-58.2%
Vermont$22$60777-61.5%

⚠️ 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

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