70140

X-ray of face bones, 1-2 views

Medicare pricing data for 1,225 providers across 39 states

🤖AI Overview

Prices vary significantly by location — from $9 in Indiana to $32 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 face bones, 1-2 views (HCPCS code 70140) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.83, but hospitals typically charge $68.23 — a 2.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.83, your out-of-pocket cost would be approximately $4.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.83
Average Hospital Charge
$68.23
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$68.23
Medicare Allowed$24.83
Medicare Payment$18.60

Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $18.60 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$32$73167682+28.7%
Nevada$30$681474+21.6%
Arizona$30$5529578+21.4%
Utah$29$621152+18.6%
New York$29$96105859+15.1%
Colorado$27$1061529+10.6%
Texas$27$92135720+9.2%
Rhode Island$27$74714+7.9%
Alabama$26$552146+6.2%
Florida$26$7982499+5.2%
Michigan$24$643373-4.3%
Virginia$23$542663-5.8%
Mississippi$23$812029-6.5%
Oregon$23$701825-7.7%
New Jersey$23$611998-8.3%
Illinois$22$943581-12.9%
Ohio$21$4814172-13.6%
Massachusetts$21$641227-14.7%
South Carolina$21$741617-15.7%
Oklahoma$21$521835-15.9%
Iowa$21$751320-16.7%
Pennsylvania$20$6335102-20.1%
Kentucky$19$621921-22.3%
Kansas$19$441428-22.7%
North Carolina$19$4133101-23.0%
Wisconsin$19$941723-24.1%
Georgia$19$732444-25.2%
Maryland$19$4623561-25.4%
Tennessee$18$3432121-29.2%
Missouri$17$3960241-31.3%
Minnesota$16$49618-34.3%
Louisiana$16$4222109-36.6%
Arkansas$15$3032154-39.7%
Washington$13$411789-49.5%
Hawaii$11$29331-56.3%
Delaware$10$641011-61.2%
Nebraska$9$381517-62.0%
West Virginia$9$39815-62.0%
Indiana$9$331415-63.8%

⚠️ 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