70355

X-ray of lower jaws, upper jaws and teeth

Medicare pricing data for 3,572 providers across 49 states

🤖AI Overview

This procedure has a 6.8x markup — hospitals charge $96.36 but Medicare allows only $14.21. Uninsured patients may face bills 6.8 times higher than what insurance negotiates. Prices vary significantly by location — from $9 in Iowa to $21 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 lower jaws, upper jaws and teeth (HCPCS code 70355) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.21, but hospitals typically charge $96.36 — a 6.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.21, your out-of-pocket cost would be approximately $2.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$14.21
Average Hospital Charge
$96.36
Markup Ratio
6.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$96.36
Medicare Allowed$14.21
Medicare Payment$10.62

Hospitals charge 6.8x more than what Medicare allows for this procedure. Medicare actually pays $10.62 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$21$154212+49.5%
Hawaii$19$168412+34.3%
Maryland$18$17232389+25.9%
New York$18$1061211,157+23.9%
New Jersey$17$12191844+20.3%
Arkansas$16$41211+13.7%
Arizona$16$54721,333+12.2%
Washington$16$7843278+9.9%
Minnesota$16$1251791,106+9.6%
Florida$16$782421,856+9.2%
Mississippi$15$1207530+8.6%
Georgia$15$10184414+8.5%
Pennsylvania$15$1052472,431+8.0%
California$15$1072622,855+5.1%
Massachusetts$15$981501,386+3.2%
South Carolina$15$11028223+2.3%
Illinois$14$1052071,336+1.8%
Kentucky$14$7150224+1.0%
Colorado$14$9415131-0.1%
Connecticut$14$9235109-0.1%
Nevada$14$10740420-0.5%
Idaho$14$826181-0.6%
Virginia$14$98131691-0.8%
North Carolina$14$67102488-2.2%
Michigan$13$94170948-6.0%
Utah$13$397115-6.8%
Alabama$13$7050407-7.2%
New Mexico$13$6423100-9.8%
Texas$13$1312383,005-10.6%
West Virginia$12$6934108-12.9%
Indiana$12$7069140-16.9%
Ohio$12$70106830-17.0%
Kansas$11$6027212-19.7%
Nebraska$11$6544383-20.1%
Maine$11$3547109-21.4%
Oregon$11$6416124-23.0%
District of Columbia$11$34461-24.1%
Delaware$11$7418108-25.5%
Missouri$10$60112553-26.7%
Wisconsin$10$90107262-27.7%
Tennessee$10$5897578-28.1%
Rhode Island$10$422558-29.6%
Louisiana$10$7337297-30.5%
North Dakota$10$362057-32.2%
Wyoming$10$12514-32.3%
New Hampshire$9$5021150-33.2%
Oklahoma$9$3626132-33.4%
South Dakota$9$352647-34.0%
Iowa$9$9252203-34.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber