Therapy procedure using ultrasound
Medicare pricing data for 1,335 providers across 38 states
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
Therapy procedure using ultrasound (HCPCS code 97610) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $432.80, but hospitals typically charge $970.46 — a 2.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $432.80, your out-of-pocket cost would be approximately $86.56. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $343.54 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $539 | $729 | 3 | 344 | +24.4% |
| Massachusetts | $524 | $758 | 4 | 1,597 | +21.2% |
| California | $490 | $1,193 | 205 | 27,287 | +13.3% |
| New York | $471 | $965 | 67 | 2,322 | +8.9% |
| Connecticut | $456 | $964 | 9 | 646 | +5.4% |
| Pennsylvania | $447 | $802 | 69 | 4,158 | +3.2% |
| New Jersey | $447 | $1,350 | 89 | 18,413 | +3.2% |
| Virginia | $446 | $897 | 20 | 195 | +2.9% |
| Washington | $443 | $739 | 21 | 1,531 | +2.3% |
| Illinois | $439 | $793 | 85 | 9,446 | +1.5% |
| Nebraska | $424 | $1,654 | 4 | 249 | -2.0% |
| Oregon | $423 | $513 | 9 | 371 | -2.3% |
| Ohio | $422 | $1,378 | 6 | 631 | -2.4% |
| Hawaii | $419 | $1,047 | 7 | 65 | -3.1% |
| Colorado | $414 | $837 | 27 | 1,541 | -4.3% |
| Delaware | $414 | $706 | 6 | 255 | -4.4% |
| Missouri | $412 | $930 | 10 | 438 | -4.9% |
| North Carolina | $409 | $720 | 22 | 679 | -5.4% |
| South Carolina | $397 | $612 | 6 | 199 | -8.3% |
| Utah | $391 | $812 | 25 | 1,812 | -9.6% |
| Texas | $390 | $738 | 98 | 7,920 | -9.8% |
| Florida | $390 | $626 | 110 | 5,799 | -9.9% |
| Nevada | $383 | $670 | 23 | 3,693 | -11.5% |
| Arizona | $382 | $728 | 80 | 11,381 | -11.7% |
| Georgia | $380 | $876 | 13 | 422 | -12.1% |
| Indiana | $379 | $814 | 8 | 381 | -12.4% |
| New Mexico | $376 | $680 | 8 | 226 | -13.2% |
| Michigan | $373 | $857 | 15 | 549 | -13.8% |
| Wisconsin | $373 | $969 | 11 | 671 | -13.9% |
| Oklahoma | $372 | $883 | 27 | 1,623 | -14.0% |
| Alabama | $372 | $468 | 10 | 268 | -14.1% |
| Kansas | $369 | $701 | 6 | 1,241 | -14.8% |
| Idaho | $366 | $629 | 14 | 833 | -15.5% |
| Maryland | $356 | $565 | 18 | 107 | -17.9% |
| Louisiana | $332 | $959 | 38 | 1,289 | -23.3% |
| Minnesota | $325 | $657 | 46 | 918 | -24.8% |
| Mississippi | $324 | $901 | 16 | 355 | -25.1% |
| Tennessee | $319 | $663 | 19 | 74 | -26.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber