A9503

Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries

Medicare pricing data for 1,665 providers across 43 states

🤖AI Overview

Prices vary significantly by location — from $14 in Washington to $109 in Maryland. 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

Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries (HCPCS code A9503) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.27, but hospitals typically charge $110.35 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.65

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $38.27, your out-of-pocket cost would be approximately $7.65. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$38.27
Average Hospital Charge
$110.35
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$110.35
Medicare Allowed$38.27
Medicare Payment$30.37

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $30.37 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$109$15451517+185.8%
Kansas$86$14453484+124.1%
Minnesota$78$13434156+103.9%
Iowa$71$74791+86.4%
Wisconsin$70$7946184+83.7%
Virginia$68$10410116+76.5%
Indiana$67$729106+76.4%
Missouri$66$7521193+73.2%
Illinois$65$9136589+70.8%
Nebraska$60$14625528+56.1%
Michigan$59$6513132+53.3%
New York$55$841171,759+42.9%
New Mexico$54$871395+41.9%
Louisiana$50$21511132+29.9%
Tennessee$47$7644493+21.5%
Alabama$46$8545446+19.5%
Georgia$45$7640188+16.3%
Texas$44$1201483,410+15.6%
Florida$44$1712073,787+14.5%
North Carolina$43$5472440+12.3%
Connecticut$43$5317265+11.9%
South Carolina$42$109752+10.9%
Puerto Rico$40$619165+4.3%
Mississippi$40$7921164+3.7%
New Jersey$38$611001,766+0.3%
Massachusetts$38$7120280+0.2%
Colorado$36$4411139-4.8%
Rhode Island$35$36217-7.4%
Arkansas$34$158111,056-12.3%
District of Columbia$33$86411-12.8%
Idaho$31$154284-18.1%
New Hampshire$28$28116-27.7%
Pennsylvania$27$5320204-29.9%
Kentucky$26$12825182-32.5%
Ohio$24$7727396-36.3%
Vermont$18$50115-52.0%
Arizona$15$150572,033-60.5%
Oregon$15$6128703-60.8%
Nevada$15$6431564-61.5%
California$15$941553,742-61.8%
Utah$15$311147-61.9%
Alaska$15$152143-61.9%
Washington$14$57100803-62.7%

⚠️ 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