Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery

Medicare Payment (avg)
$32.18
What Medicare actually pays
Billed Charge (avg)
$721.19
What providers submit
Markup
22.4x
2141% above Medicare rate
946
Total Services
927
Beneficiaries
52
Providers
6
States with Data

Price Range Across States

Lowest State Avg
$28.35
New York
Highest State Avg
$37.38
Ohio

What You Might Pay

Est. Commercial Insurance
$93.28
Range: $65.30 – $130.60
Est. Cash / Self-Pay
$229.56
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

How we estimate these prices

These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Temporary Procedures procedures average 2.24x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.

Prices by State

State Medicare Payment Billed Charge
Ohio $37.38 $1,064.09
Massachusetts $35.95 $1,072.35
Oregon $29.79 $98.00
Michigan $29.38 $162.07
North Carolina $29.33 $856.13
New York $28.35 $69.52

What the Data Says About Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery

Across 6 states with reporting providers, CPT code G0288 (Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery) shows a national average Medicare payment of $32.18 against an average billed charge of $721.19. That gap — a 22.4x markup, or 2141% above the Medicare allowed amount — reflects chargemaster pricing, not what most insured patients actually pay. Medicare's negotiated rate is the statutory benchmark; commercial insurers typically settle between the two figures based on network contracts.

Temporary Procedures procedures like this one saw 946 services billed to Medicare in 2023 by 52 distinct providers, serving 927 unique beneficiaries. State-level variation is significant: New York reports the lowest average payment at $28.35, while Ohio reports the highest at $37.38. Geographic Practice Cost Indices (GPCIs) explain much of that spread — local malpractice premiums, practice expense, and physician work adjustments all shift the allowed amount even when the procedure is identical.

Applying RAND 2024 commercial-to-Medicare ratios specific to the Temporary Procedures category (2.24x), the estimated commercial insurance price lands near $93.28, with self-pay cash discounts commonly bringing the figure closer to $229.56. Uninsured patients facing the full billed charge have the strongest leverage to negotiate — the Hospital Price Transparency Rule (effective January 2021) requires providers to publish standard charges, cash rates, and payer-specific negotiated prices. This data is for educational reference; confirm coverage and out-of-pocket exposure with your insurer before any procedure.

Frequently Asked Questions

How much does Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery cost?

The national average Medicare payment for Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery (CPT G0288) is $32.18, while providers typically bill $721.19. Prices vary significantly by state, ranging from $28.35 to $37.38.

Why do providers charge more than Medicare pays?

Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.

How much does Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery cost with insurance?

With commercial insurance, Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery costs an estimated $93.28 on average (range: $65.30 – $130.60). Without insurance, the estimated cash price is $229.56. These estimates are based on RAND 2024 research on commercial-to-Medicare price ratios. Your actual cost depends on your insurer, plan, and provider.

Which state has the lowest cost for Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery?

New York has the lowest average Medicare payment for Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery at $28.35, while Ohio has the highest at $37.38. This $9.03 difference reflects geographic variation in healthcare costs, local cost of living, and provider market dynamics.

How many providers perform Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery?

Nationally, 52 providers billed Medicare for Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery in 2023, performing 946 total services for 927 beneficiaries across 6 states and territories.

What is the billed-to-Medicare markup for Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery?

Providers bill 22.4x what Medicare pays for Reconstruction, Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery — a 2141% markup. This gap between billed charges and actual payment is common across healthcare. Uninsured patients may face charges closer to the billed amount, while insured patients pay negotiated rates between the Medicare and billed figures.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial