93985

Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access

Medicare pricing data for 3,448 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $36 in Vermont to $234 in Alaska. 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 artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access (HCPCS code 93985) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $156.05, but hospitals typically charge $506.32 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$31.21

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $156.05, your out-of-pocket cost would be approximately $31.21. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$156.05
Average Hospital Charge
$506.32
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$506.32
Medicare Allowed$156.05
Medicare Payment$120.81

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $120.81 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$234$1,39914129+50.0%
Arizona$222$56452812+42.4%
California$218$5912511,702+39.5%
New York$209$628163799+33.7%
Florida$195$6152371,203+24.7%
Texas$188$6421951,160+20.4%
Hawaii$186$486637+19.3%
Maryland$186$41168375+19.0%
Connecticut$182$54841230+16.5%
New Jersey$180$585136653+15.5%
Washington$180$46796447+15.3%
Georgia$178$574127723+13.8%
Nevada$174$57121124+11.5%
Michigan$168$429125663+7.4%
Illinois$163$1,45496463+4.4%
Arkansas$157$42321173+0.7%
Colorado$157$40064298+0.5%
North Carolina$153$43898510-2.0%
Alabama$152$31552215-2.6%
Minnesota$150$47273257-4.1%
Rhode Island$146$624826-6.3%
South Carolina$137$41565438-12.3%
Indiana$136$44787397-12.7%
Kentucky$136$36854328-13.0%
Louisiana$132$35871555-15.5%
Virginia$129$398118653-17.3%
Oklahoma$128$49243173-18.0%
District of Columbia$127$3121058-18.8%
Tennessee$123$37987435-21.0%
Kansas$123$39430309-21.2%
Nebraska$117$3812163-25.1%
Oregon$116$4621783-25.9%
Massachusetts$110$48181313-29.4%
Montana$107$2631143-31.2%
Utah$101$3431269-35.1%
New Mexico$93$3261287-40.7%
Iowa$87$33432119-44.5%
Mississippi$83$31939208-46.7%
Wisconsin$82$55376268-47.7%
Pennsylvania$80$340194768-48.9%
Ohio$76$265194615-51.6%
New Hampshire$74$3532986-52.8%
Delaware$71$23320110-54.6%
Maine$70$2521989-54.9%
South Dakota$68$18113125-56.4%
Missouri$63$32281368-59.4%
West Virginia$56$25828142-64.1%
Idaho$55$23133134-65.0%
North Dakota$36$129720-77.0%
Vermont$36$41617-77.2%

⚠️ 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