Armed Forces Central/South America

What Medicare pays in Armed Forces Central/South America

Billed charges against Medicare allowed amounts in Armed Forces Central/South America, across the 71 procedures Medicare covers most often.

71Procedures
17,241Services covered
7.2xBilled vs allowed
#2Rank of 61

Providers here billed the most above the national figure for advance care planning, first 30 minutes. The average was $546.00 against a national $187.36. That is 2.9 times as much.

Whose price this is

These are Medicare figures. The billed column is what providers asked for. The allowed column is what Medicare agreed to pay. Neither is what an uninsured patient gets charged, and neither is what a private insurer negotiates.

The gap between the two columns is the point. A hospital billing three times what Medicare allows tells you the billed number was never a price. It was an opening position.

The 40 most common procedures in Armed Forces Central/South America

ProcedureBilled hereAllowedGapvs national billed
X-ray of chest, 1 view$97.70$8.0612.1x1.87x
Ct scan head or brain without contrast$360.32$37.969.5x1.46x
X-ray of chest, 2 views$57.18$11.515.0x0.80x
Ct scan of abdomen and pelvis with contrast$937.36$83.2411.3x1.52x
Therapy procedure using manual technique, each 15 minutes$59.00$19.843.0x0.87x
Therapy procedure using functional activities$78.00$30.742.5x1.05x
Ct scan of chest without contrast$450.98$53.088.5x1.08x
Screening mammography$113.00$34.753.3x0.46x
Ct scan of chest with contrast$388.96$52.907.4x0.89x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$710.64$113.836.2x2.18x
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$135.39$83.991.6x0.72x
Emergency department visit with high level of medical decision making$1,629.81$180.949.0x1.32x
Ct scan of abdomen and pelvis without contrast$1,050.45$78.6413.4x1.88x
X-ray of hip, 2-3 views$117.91$16.447.2x1.16x
Ct scan of upper spine without contrast$482.99$44.9110.8x1.63x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$396.23$75.435.3x1.95x
Established patient complete exam of visual system$166.10$116.181.4x0.73x
Emergency department visit with moderate level of medical decision making$1,115.05$127.338.8x1.42x
Ct scan of blood vessels of chest with contrast$1,239.55$80.8815.3x2.33x
X-ray of abdomen, 1 view$90.63$8.4210.8x1.64x
X-ray of shoulder, minimum of 2 views$80.83$11.357.1x0.90x
Mri scan of brain without contrast$353.46$66.635.3x0.53x
X-ray of knee, 3 views$83.90$12.846.5x0.82x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only$77.63$8.569.1x1.73x
X-ray of foot, minimum of 3 views$80.00$14.185.6x0.97x
Dxa bone density measurement of hip, pelvis, spine$52.00$9.115.7x0.33x
Hospital discharge day management, more than 30 minutes$640.52$109.855.8x1.81x
Screening 3d breast mammography$104.00$26.903.9x0.75x
Mri scan of brain before and after contrast$473.32$104.174.5x0.42x
Limited ultrasound scan of abdomen$212.72$26.398.1x1.15x
X-ray of hand, minimum of 3 views$83.16$11.897.0x0.95x
X-ray of knee, 4 or more views$114.07$16.017.1x0.88x
X-ray of ankle, minimum of 3 views$85.48$15.315.6x1.02x
X-ray of lower and sacral spine, 2-3 views$90.96$17.035.3x0.91x
Complete ultrasound scan behind abdominal cavity$251.74$33.767.5x1.02x
X-ray of knee, 1-2 views$87.88$11.247.8x1.19x
New patient complete exam of visual system$197.69$138.581.4x0.77x
Established patient problem focused exam of visual system$117.27$82.321.4x0.70x
Imaging of retina$90.87$37.072.5x0.73x
Ultrasound study of one arm or leg veins with compression and maneuvers$250.12$20.0412.5x1.11x

The last column compares this state against the national average for the same code. Above 1.00 means providers here billed more.

Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.

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