70110

X-ray of lower jaw, minimum of 4 views

Medicare pricing data for 2,318 providers across 45 states

🤖AI Overview

Prices vary significantly by location — from $12 in Maine to $44 in California. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 lower jaw, minimum of 4 views (HCPCS code 70110) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.24, but hospitals typically charge $86.65 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.25

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $36.24, your out-of-pocket cost would be approximately $7.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$36.24
Average Hospital Charge
$86.65
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$86.65
Medicare Allowed$36.24
Medicare Payment$26.47

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $26.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$44$842741,667+22.7%
New Jersey$42$12180107+15.1%
Idaho$39$50121,059+8.4%
Nevada$38$1442148+5.4%
New York$38$95120267+3.8%
Washington$37$8978180+0.9%
Maryland$36$8082223-1.4%
Utah$35$871722-2.6%
New Hampshire$34$1011619-5.5%
Arizona$34$1335574-6.9%
Texas$33$109163251-7.9%
Florida$33$124145210-7.9%
Delaware$33$1191425-8.6%
Alabama$32$882430-10.9%
Rhode Island$32$961524-11.4%
New Mexico$32$851637-12.4%
Massachusetts$32$894858-12.7%
Colorado$31$872430-13.6%
Louisiana$31$1103237-15.1%
Virginia$31$10074103-15.3%
Hawaii$29$931114-19.0%
Oregon$29$942228-19.2%
Michigan$29$725291-21.2%
Connecticut$28$822224-22.4%
Mississippi$28$891920-22.8%
Iowa$28$892123-23.0%
Nebraska$28$931720-23.3%
Georgia$28$984650-23.7%
Wisconsin$27$1985365-24.7%
Illinois$27$17176115-25.8%
Pennsylvania$26$92128177-28.6%
Kansas$26$663234-28.7%
South Carolina$26$1294755-28.9%
North Carolina$25$957384-29.7%
Tennessee$25$764483-29.9%
Arkansas$25$732126-32.2%
Minnesota$24$923855-33.0%
Indiana$24$973751-33.3%
Ohio$23$7568119-37.6%
Kentucky$22$652530-38.3%
West Virginia$22$891616-39.7%
Oklahoma$21$603545-40.7%
Missouri$20$595280-45.4%
Montana$12$381012-67.5%
Maine$12$431113-67.8%

⚠️ 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