70250

X-ray of skull, 1-3 views

Medicare pricing data for 14,063 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $8 in West Virginia to $20 in Alaska. 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 skull, 1-3 views (HCPCS code 70250) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.64, but hospitals typically charge $66.91 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.93

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.64, your out-of-pocket cost would be approximately $2.93. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$14.64
Average Hospital Charge
$66.91
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$66.91
Medicare Allowed$14.64
Medicare Payment$11.07

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $11.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$20$12546116+37.3%
California$20$811,2264,563+35.9%
Texas$19$731,0624,355+31.7%
Nevada$18$100126353+21.8%
Arizona$17$852771,333+17.6%
Puerto Rico$17$242743+15.1%
New Jersey$17$833861,010+13.6%
Maryland$16$502972,282+12.4%
New York$16$656903,143+11.1%
Alabama$16$53188335+10.7%
Florida$16$809813,475+10.6%
Tennessee$15$443341,387-0.4%
Kansas$14$48119302-2.5%
Michigan$14$644541,232-6.1%
Arkansas$14$53169373-6.5%
Colorado$14$72281603-6.6%
Georgia$13$78411824-9.1%
Connecticut$13$63172384-11.0%
North Carolina$13$675661,456-11.1%
North Dakota$13$663137-11.3%
South Carolina$13$77227531-12.9%
Mississippi$13$59158333-13.3%
Utah$13$3992301-13.9%
Louisiana$12$57257713-16.2%
Virginia$12$65355947-16.3%
Nebraska$12$8599209-18.4%
District of Columbia$12$5135123-18.5%
Minnesota$12$644961,221-19.9%
Oklahoma$12$49202577-20.0%
Illinois$11$905261,544-21.5%
Pennsylvania$11$586251,914-22.4%
New Hampshire$11$8875174-23.4%
Ohio$11$615101,747-23.6%
Washington$11$413051,061-23.6%
Hawaii$11$4434168-25.1%
Idaho$11$6162125-25.1%
Oregon$11$45165354-25.1%
South Dakota$11$4159132-25.4%
New Mexico$11$6092183-25.5%
Missouri$11$493291,137-25.8%
Indiana$11$54257590-27.1%
Delaware$11$5152165-27.2%
Kentucky$10$46173406-30.7%
Wisconsin$10$104274632-30.8%
Massachusetts$10$533471,048-31.1%
Iowa$10$63108314-31.7%
Montana$10$4555140-34.2%
Maine$9$485177-35.6%
Rhode Island$9$4957418-38.7%
Vermont$9$483188-41.1%
West Virginia$8$4474192-42.3%

⚠️ 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