70100

X-ray of part of lower jaw, 1-4 views

Medicare pricing data for 2,047 providers across 35 states

🤖AI Overview

Prices vary significantly by location — from $9 in Nevada to $29 in Oklahoma. 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 part of lower jaw, 1-4 views (HCPCS code 70100) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.34, but hospitals typically charge $64.33 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.34, your out-of-pocket cost would be approximately $4.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$21.34
Average Hospital Charge
$64.33
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$64.33
Medicare Allowed$21.34
Medicare Payment$16.75

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $16.75 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Oklahoma$29$7833309+36.2%
New York$25$4886292+18.1%
Arizona$25$6241260+17.8%
Pennsylvania$25$6678152+16.5%
California$24$65269997+14.1%
Alabama$24$604247+12.7%
Maryland$23$5843260+7.8%
Louisiana$23$47371,441+5.9%
Mississippi$22$6825652+5.3%
Texas$22$691878,413+2.0%
Kansas$21$412233-1.1%
Ohio$21$65511,355-2.1%
Nebraska$21$592628-2.6%
Florida$21$82125235-3.2%
Kentucky$20$641741-6.6%
New Jersey$20$603468-6.9%
Virginia$19$543349-9.5%
South Carolina$19$642627-11.9%
Iowa$19$702426-12.2%
Indiana$19$62632,503-12.5%
Colorado$18$594148-13.4%
North Carolina$18$504778-15.1%
Missouri$17$2842233-19.5%
Arkansas$17$373174-21.8%
Illinois$17$9194152-22.4%
Wisconsin$16$1003342-23.5%
Massachusetts$16$534069-23.9%
Georgia$16$613438-25.6%
Washington$15$454165-30.2%
Oregon$15$432634-30.7%
Tennessee$15$4870121-31.9%
Minnesota$14$605467-32.8%
Michigan$11$356889-49.1%
New Hampshire$9$721013-58.7%
Nevada$9$651822-59.4%

⚠️ 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