71046

X-ray of chest, 2 views

Medicare pricing data for 114,220 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 6.9 million services annually. Even small pricing inefficiencies here affect millions of patients. 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 chest, 2 views (HCPCS code 71046) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.84, but hospitals typically charge $69.59 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.37

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.84, your out-of-pocket cost would be approximately $3.37. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.84
Average Hospital Charge
$69.59
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$69.59
Medicare Allowed$16.84
Medicare Payment$11.96

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $11.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$22$939,475497,135+30.5%
Arizona$22$941,930109,990+29.5%
New Jersey$21$692,468181,205+24.2%
Florida$21$876,391399,435+23.7%
Puerto Rico$21$292465,607+21.9%
Alaska$20$10537413,711+20.6%
New York$20$775,132402,220+19.2%
Nevada$20$9677539,372+18.0%
District of Columbia$19$6625114,704+14.5%
Alabama$19$552,631131,350+12.5%
Maryland$18$521,806324,683+9.1%
Tennessee$18$663,752193,711+6.1%
Texas$18$919,039437,502+5.9%
Wyoming$17$812899,987+3.0%
Virginia$17$663,194209,962+0.2%
Georgia$17$733,941192,296+0.1%
Delaware$16$5727929,262-3.6%
Kansas$16$521,61380,556-3.7%
Rhode Island$16$5829636,748-3.7%
Hawaii$16$5632422,049-4.3%
Mississippi$16$661,50398,594-4.8%
Colorado$16$701,93882,987-6.0%
Utah$16$471,24033,890-6.2%
Arkansas$16$461,796100,223-6.2%
South Carolina$16$862,382120,978-7.1%
Kentucky$16$561,99772,205-7.4%
Washington$16$583,157137,413-7.4%
Connecticut$16$591,17677,422-7.7%
Nebraska$15$511,31265,888-9.0%
North Carolina$15$655,601270,275-9.0%
Louisiana$15$651,73499,957-11.1%
Wisconsin$15$1232,350118,784-11.3%
Oklahoma$15$692,172100,687-11.6%
Minnesota$15$663,282193,202-12.3%
Illinois$15$773,391299,133-13.5%
New Mexico$15$6654826,076-13.6%
Massachusetts$14$522,156244,504-15.2%
Oregon$14$491,48961,197-15.3%
Iowa$14$551,45789,862-15.9%
Michigan$14$493,272209,850-16.7%
Missouri$14$522,735183,233-17.0%
Pennsylvania$14$553,656279,956-18.3%
Indiana$13$582,156113,580-20.1%
New Hampshire$13$8653744,480-20.4%
South Dakota$13$4454729,302-20.7%
Montana$13$4645721,276-20.8%
North Dakota$13$5829221,365-20.8%
Idaho$13$7177427,861-21.1%
Ohio$13$613,460234,723-22.3%
West Virginia$12$5571246,769-27.4%
Vermont$12$6317212,902-28.0%
Maine$12$4645533,178-31.1%

⚠️ 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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