93976

Ultrasound of abdomen and pelvis artery and vein blood flow

Medicare pricing data for 22,226 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $37 in Vermont to $132 in New York. 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 abdomen and pelvis artery and vein blood flow (HCPCS code 93976) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $75.89, but hospitals typically charge $327.83 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.18

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $75.89, your out-of-pocket cost would be approximately $15.18. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$75.89
Average Hospital Charge
$327.83
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$327.83
Medicare Allowed$75.89
Medicare Payment$57.34

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $57.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$132$3791,44219,064+73.9%
New Jersey$105$3887516,784+38.4%
California$100$3511,94919,146+31.7%
Maryland$97$3384533,400+27.8%
Nevada$87$3681931,125+14.5%
South Dakota$85$322120697+11.8%
Florida$84$4111,4258,278+10.9%
Connecticut$78$3603181,300+2.9%
Arizona$76$3824353,173+0.3%
Minnesota$72$4488714,285-4.9%
Rhode Island$68$32870277-10.8%
Washington$66$2713971,637-12.6%
North Carolina$66$3596943,296-13.2%
Tennessee$66$3256645,172-13.4%
Colorado$63$2784701,960-16.6%
Iowa$62$316209731-18.9%
Kansas$60$2462171,264-20.6%
Michigan$60$2525782,483-20.6%
Georgia$60$2996174,574-21.2%
Texas$58$3791,7059,670-23.0%
Pennsylvania$58$2669764,829-23.1%
District of Columbia$58$22261384-23.5%
Alaska$58$34757333-23.7%
Delaware$57$46763296-25.0%
Alabama$55$1883341,725-27.6%
Massachusetts$55$3015692,847-27.7%
Oregon$54$2152661,615-28.7%
South Carolina$52$2073203,820-31.2%
New Mexico$51$2341371,391-33.4%
Wyoming$50$52134212-34.1%
Wisconsin$50$5435441,853-34.3%
Arkansas$49$2171961,063-35.3%
Nebraska$49$241177609-35.7%
Virginia$48$3085625,504-36.2%
Indiana$48$2043791,935-37.0%
Illinois$48$3031,0036,212-37.3%
Kentucky$47$2212511,606-37.8%
Missouri$46$2204832,329-39.4%
Louisiana$45$1822742,523-40.7%
Hawaii$45$21883656-40.8%
Utah$44$173138627-42.0%
West Virginia$44$230107708-42.2%
Maine$43$23680394-42.8%
Montana$43$19863240-42.9%
New Hampshire$43$282121651-43.1%
Ohio$43$2916662,842-43.1%
Oklahoma$43$3112411,074-43.7%
North Dakota$42$34866486-44.7%
Idaho$41$2781501,343-45.4%
Mississippi$38$2011782,283-50.1%
Vermont$37$16940369-51.5%

⚠️ 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

💊 Need post-procedure medications? Check costs on OpenPrescriber