Specialty care transport (sct)
Medicare pricing data for 1,202 providers across 47 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
Specialty care transport (sct) (HCPCS code A0434) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $895.49, but hospitals typically charge $3,612 — a 4.0x 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 $895.49, your out-of-pocket cost would be approximately $179.10. 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 4.0x more than what Medicare allows for this procedure. Medicare actually pays $711.53 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Wyoming | $1,045 | $3,105 | 6 | 15 | +16.7% |
| South Dakota | $1,005 | $1,333 | 4 | 29 | +12.3% |
| Montana | $997 | $2,477 | 12 | 107 | +11.3% |
| California | $986 | $5,332 | 88 | 11,468 | +10.1% |
| Alaska | $976 | $4,585 | 4 | 94 | +9.0% |
| Minnesota | $971 | $2,984 | 27 | 1,123 | +8.5% |
| New York | $971 | $2,306 | 61 | 4,632 | +8.4% |
| Colorado | $967 | $3,689 | 26 | 259 | +8.0% |
| New Jersey | $956 | $3,714 | 7 | 4,646 | +6.8% |
| Hawaii | $956 | $2,696 | 1 | 31 | +6.7% |
| Oregon | $933 | $4,282 | 26 | 1,322 | +4.2% |
| Washington | $929 | $2,709 | 18 | 1,828 | +3.8% |
| Massachusetts | $929 | $4,955 | 36 | 4,029 | +3.8% |
| Maryland | $927 | $2,173 | 15 | 2,555 | +3.6% |
| Connecticut | $927 | $2,110 | 12 | 799 | +3.5% |
| New Hampshire | $897 | $4,497 | 12 | 472 | +0.2% |
| Arizona | $882 | $1,343 | 20 | 1,098 | -1.5% |
| Idaho | $880 | $1,451 | 25 | 540 | -1.7% |
| Vermont | $873 | $2,025 | 16 | 322 | -2.5% |
| Nevada | $870 | $2,013 | 11 | 902 | -2.8% |
| Pennsylvania | $870 | $2,638 | 30 | 981 | -2.9% |
| Illinois | $862 | $6,040 | 59 | 6,168 | -3.7% |
| Utah | $862 | $2,291 | 13 | 418 | -3.8% |
| Maine | $854 | $2,371 | 34 | 749 | -4.7% |
| Texas | $852 | $3,334 | 82 | 3,354 | -4.9% |
| Wisconsin | $849 | $3,727 | 39 | 2,486 | -5.2% |
| Virginia | $844 | $2,986 | 15 | 582 | -5.8% |
| Nebraska | $844 | $2,094 | 7 | 545 | -5.8% |
| Florida | $838 | $1,503 | 54 | 3,503 | -6.4% |
| Michigan | $838 | $3,226 | 47 | 3,230 | -6.4% |
| New Mexico | $832 | $1,063 | 6 | 261 | -7.1% |
| Georgia | $832 | $3,262 | 40 | 903 | -7.1% |
| Iowa | $826 | $1,867 | 10 | 51 | -7.8% |
| Kansas | $825 | $2,657 | 4 | 106 | -7.9% |
| Missouri | $824 | $2,189 | 18 | 306 | -7.9% |
| North Carolina | $824 | $1,676 | 41 | 1,313 | -8.0% |
| Ohio | $815 | $4,695 | 27 | 1,085 | -9.0% |
| South Carolina | $811 | $2,302 | 9 | 503 | -9.4% |
| Indiana | $808 | $4,430 | 19 | 1,168 | -9.8% |
| Oklahoma | $805 | $1,592 | 12 | 1,282 | -10.1% |
| Arkansas | $804 | $2,049 | 20 | 739 | -10.2% |
| Alabama | $802 | $1,181 | 35 | 674 | -10.4% |
| Tennessee | $801 | $3,780 | 46 | 571 | -10.6% |
| Louisiana | $798 | $4,283 | 10 | 1,589 | -10.9% |
| Kentucky | $791 | $2,053 | 38 | 459 | -11.7% |
| West Virginia | $791 | $2,227 | 38 | 993 | -11.7% |
| Mississippi | $784 | $2,095 | 13 | 648 | -12.4% |
⚠️ 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