93978

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts

Medicare pricing data for 14,191 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $36 in Vermont to $182 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

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS code 93978) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $142.34, but hospitals typically charge $428.40 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$28.47

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $142.34, your out-of-pocket cost would be approximately $28.47. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$142.34
Average Hospital Charge
$428.40
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$428.40
Medicare Allowed$142.34
Medicare Payment$107.91

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $107.91 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$182$4441,10729,889+28.1%
New York$179$5301,03634,086+26.1%
New Jersey$179$49863814,383+25.5%
Wyoming$176$945870+23.9%
District of Columbia$174$40334672+22.2%
Hawaii$167$528362,230+17.5%
Connecticut$166$6781572,697+16.8%
Maryland$160$4143229,682+12.6%
Arizona$155$3974448,783+8.8%
Montana$151$43429249+6.4%
Florida$151$4101,22221,649+5.8%
Nevada$147$4091131,840+3.4%
Puerto Rico$139$22028106-2.1%
Colorado$138$3661641,597-2.8%
Delaware$137$369672,227-3.7%
Texas$137$4541,04011,212-4.1%
North Carolina$135$4995277,296-5.1%
Louisiana$135$3902432,914-5.5%
Virginia$132$3843696,038-7.4%
Alabama$131$3612472,589-8.0%
Michigan$131$3544686,729-8.2%
Georgia$129$4794517,325-9.7%
Alaska$124$78241628-13.2%
Rhode Island$122$49441701-14.1%
Utah$122$32057364-14.4%
Maine$121$45045785-14.7%
Oregon$119$3731512,184-16.1%
Kansas$117$5271101,316-17.8%
Illinois$117$4595127,456-17.8%
Tennessee$115$3893325,368-19.0%
Washington$113$3193267,745-20.3%
Pennsylvania$107$31476312,380-25.0%
Massachusetts$107$4533085,075-25.0%
South Carolina$104$4213055,874-26.8%
Indiana$104$2921802,482-27.0%
Kentucky$103$2621442,147-27.7%
Arkansas$99$3181191,338-30.8%
Mississippi$97$3531191,387-31.8%
Missouri$90$3152522,455-37.0%
Minnesota$87$4012651,960-39.1%
Wisconsin$82$8612371,858-42.4%
Iowa$81$3131091,830-43.2%
Nebraska$79$28260964-44.2%
Oklahoma$79$1921621,551-44.8%
New Mexico$69$21958541-51.4%
New Hampshire$66$42256642-53.4%
Ohio$63$2144845,485-55.5%
Idaho$59$20150696-58.8%
South Dakota$59$23852648-58.8%
North Dakota$51$1943071-64.4%
West Virginia$50$16649656-64.9%
Vermont$36$1031547-74.8%

⚠️ 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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