70210

X-ray of paranasal sinus, 1-2 views

Medicare pricing data for 4,650 providers across 46 states

🤖AI Overview

Prices vary significantly by location — from $11 in North Dakota to $32 in Rhode Island. 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 paranasal sinus, 1-2 views (HCPCS code 70210) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $21.14, but hospitals typically charge $66.76 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $21.14, your out-of-pocket cost would be approximately $4.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$21.14
Average Hospital Charge
$66.76
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$66.76
Medicare Allowed$21.14
Medicare Payment$14.67

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $14.67 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Rhode Island$32$6628239+49.9%
Nevada$30$901221+43.0%
California$29$1084691,066+37.2%
New Jersey$29$14951131+37.0%
Utah$29$66721+35.1%
Idaho$28$997115+30.4%
Georgia$25$961201,170+20.5%
Wyoming$24$1581020+13.2%
Alabama$24$422562,112+13.2%
New York$24$67112309+11.6%
Florida$23$74230477+7.4%
Washington$23$80127314+6.6%
Arizona$22$8982132+4.9%
Kentucky$22$6041121+4.8%
South Dakota$22$4943100+1.8%
Tennessee$22$602241,684+1.7%
Nebraska$21$6999468+0.7%
Texas$21$894601,179-1.0%
Louisiana$20$63153966-5.1%
Virginia$20$6285174-5.4%
Puerto Rico$20$233458-5.5%
Arkansas$19$51169724-9.5%
Iowa$19$625068-9.8%
Massachusetts$19$635069-10.4%
South Carolina$19$51101566-11.6%
North Carolina$19$59145297-12.3%
Oregon$18$625894-12.8%
Michigan$18$475585-14.6%
Mississippi$18$6799389-16.2%
Maryland$17$4539166-20.3%
New Mexico$17$612144-21.5%
Pennsylvania$17$4284167-21.5%
Wisconsin$16$12995137-22.6%
Kansas$16$5793308-23.5%
Missouri$16$4876143-24.8%
Illinois$15$71125204-28.0%
Ohio$15$4573180-30.2%
Colorado$15$5877103-30.8%
Connecticut$14$572335-31.8%
Minnesota$13$53167359-37.7%
Montana$13$772135-38.7%
Oklahoma$12$46166607-41.6%
Hawaii$12$431420-42.7%
Indiana$11$673739-45.8%
West Virginia$11$3954154-47.1%
North Dakota$11$312659-49.3%

⚠️ 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