70030

X-ray of eye for detection of foreign body

Medicare pricing data for 6,152 providers across 48 states

🤖AI Overview

Prices vary significantly by location — from $8 in Oklahoma to $33 in Connecticut. 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

X-ray of eye for detection of foreign body (HCPCS code 70030) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.89, but hospitals typically charge $74.67 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.89, your out-of-pocket cost would be approximately $3.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.89
Average Hospital Charge
$74.67
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$74.67
Medicare Allowed$16.89
Medicare Payment$12.56

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $12.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Connecticut$33$84121198+92.6%
New Mexico$32$143928+91.7%
Delaware$32$861133+87.3%
Hawaii$28$184616+62.8%
Maryland$26$6096484+53.0%
California$25$90346707+50.1%
New Hampshire$25$173102239+47.6%
Louisiana$25$8639110+46.6%
Florida$25$80168358+45.8%
Alabama$25$96626+45.2%
Wyoming$23$902865+35.5%
New Jersey$23$69171394+35.1%
Washington$22$82123318+31.2%
Kentucky$20$6461152+20.8%
Kansas$20$52119324+20.5%
Arizona$20$15371166+20.4%
Rhode Island$20$593893+15.6%
New York$19$58263642+11.6%
Arkansas$19$522448+11.0%
Illinois$19$1394141,140+10.1%
Colorado$19$65175399+9.7%
Virginia$17$84281880+1.1%
Indiana$17$8498171-0.8%
North Carolina$17$703941,094-2.1%
Massachusetts$16$60183382-6.4%
Tennessee$15$724992-8.3%
Wisconsin$15$148299603-9.2%
Iowa$15$66197616-12.0%
Ohio$15$58171344-12.6%
Michigan$15$63311790-13.3%
South Dakota$14$494392-15.7%
Georgia$14$8465146-16.9%
Oregon$14$564064-17.9%
Nevada$13$3622118-22.4%
Missouri$13$56128255-23.3%
Minnesota$13$57210406-24.5%
Texas$12$68157361-27.6%
South Carolina$12$5767124-30.9%
Nebraska$11$4569203-32.3%
Maine$11$3876202-33.5%
Pennsylvania$11$435972,099-34.7%
North Dakota$11$453468-35.8%
Vermont$9$5632167-46.6%
Montana$9$311533-48.3%
Utah$9$372236-48.9%
Idaho$9$362753-49.4%
West Virginia$8$4739127-49.9%
Oklahoma$8$344677-50.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber