Carotid Ultrasound Cost in Rhode Island
Extracranial bilat study
$433Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Rhode Island Medicare physician rate (2026)
+2.9% vs nationalSingle statewide locality.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Rhode Island
Enter a ZIP code for your part of Rhode Island, whether Providence and Pawtucket, Warwick and Cranston, Newport, or the South County shore towns.
What carotid ultrasound costs at hospitals near you
Everything above is a national average. The hospital you pick in Rhode Island moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs Rhode Island
Where Rhode Island ranks for this CPT
Carotid Ultrasound and how Rhode Island is priced
Rhode Island, the smallest state, is unsurprisingly a single payment locality, with geographic adjustments above the national average in line with southern New England's cost structure. Providence and the shoreline towns publish identical Medicare-approved amounts, and no point in the state is more than an hour from its main hospitals. The compact geography makes locality subdivision pointless. Pricing here reads as a slightly discounted echo of neighboring Boston's market.
Providence dominates Rhode Island care, with the state's teaching hospitals and academic affiliation concentrated there, and consolidation has left a small number of systems running most beds. Many Rhode Islanders, particularly in the northeast corner, use Boston hospitals for complex or specialized procedures, accepting metro Boston pricing when they do. South County residents have fewer local options and often travel to Providence.
This procedure: A bilateral carotid duplex ultrasound examines the arteries on both sides of the neck that supply the brain, measuring plaque buildup and blood flow speed to estimate narrowing. It is ordered after a stroke or mini-stroke, for a bruit heard in the neck, or before certain surgeries. A technologist moves a probe along each side of your neck for 30 to 45 minutes; it is painless, radiation-free, and requires no preparation.
What Is Carotid Ultrasound?
A bilateral carotid duplex ultrasound examines the arteries on both sides of the neck that supply the brain, measuring plaque buildup and blood flow speed to estimate narrowing. It is ordered after a stroke or mini-stroke, for a bruit heard in the neck, or before certain surgeries. A technologist moves a probe along each side of your neck for 30 to 45 minutes; it is painless, radiation-free, and requires no preparation.
What Affects the Cost
- –Hospital vascular labs charge multiples of what office-based or freestanding vascular labs charge for the same bilateral study.
- –Significant narrowing triggers surveillance scans every 6 to 12 months, making the per-scan price a recurring expense for years.
- –Findings can cascade to CT or MR angiography for confirmation, each far more expensive than the ultrasound.
- –The interpreting physician's fee is a separate component at facility-based labs.
- –Screening packages sold directly to consumers by mobile companies price this scan cheaply as cash-pay, but positive findings still funnel into insured follow-up costs.
Questions to Ask Before Booking
- 1.What indication is on my order, and is it one my insurer covers?
- 2.What does this study cost at an office vascular lab versus the hospital?
- 3.If narrowing is found, how often will I need repeat scans and at what cost each?
- 4.Would an abnormal result lead to CT or MR angiography, and what do those cost?
- 5.Is the physician interpretation included in your quoted price?
Other featured procedures in Rhode Island
Carotid Ultrasound in other states
Carotid Ultrasound in Rhode Island: questions
Rhode Island is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 93880 is $194.45 in an office and $194.45 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Rhode Island uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $39 for the office physician line or $39 for the hospital physician line in Rhode Island. Medigap may cover that 20%. This is not the hospital facility fee.
No. $194.45 is only the physician's share. Adding Medicare's facility payment brings the total to about $433 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Rhode Island ranks #39 of 51 states on the physician line (3% above the national office rate of $189.05).