71100

X-ray of ribs on side of body, 2 views

Medicare pricing data for 36,093 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $13 in Maine to $30 in New Jersey. 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 ribs on side of body, 2 views (HCPCS code 71100) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.68, but hospitals typically charge $75.07 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.68, your out-of-pocket cost would be approximately $4.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$20.68
Average Hospital Charge
$75.07
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$75.07
Medicare Allowed$20.68
Medicare Payment$14.83

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $14.83 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$30$951,0654,738+43.1%
District of Columbia$28$9183228+37.6%
Alaska$26$141100281+26.5%
California$26$922,87210,650+25.0%
Arizona$25$1115742,258+23.2%
New York$25$871,78910,372+21.5%
Delaware$25$7499448+18.6%
Florida$24$861,9668,495+16.6%
Maryland$23$616866,995+12.4%
Nevada$23$95164500+10.9%
Rhode Island$22$73156707+7.4%
Puerto Rico$22$304874+6.6%
Texas$22$872,79011,296+5.3%
Virginia$22$721,0653,594+4.5%
New Mexico$22$87132356+4.2%
Connecticut$21$704791,376+3.3%
Alabama$21$637742,474+1.1%
Hawaii$21$64122495+0.2%
Colorado$20$775281,458-1.4%
North Carolina$20$701,7085,074-5.5%
Illinois$20$851,4626,872-5.6%
Wyoming$19$10780205-6.5%
Georgia$19$861,1323,124-6.6%
Mississippi$19$684751,689-8.1%
Washington$19$748662,962-8.9%
Tennessee$19$621,1744,658-9.4%
Utah$19$50287662-9.5%
South Carolina$18$868142,566-11.8%
Kansas$18$514781,865-12.2%
Michigan$18$581,0043,187-12.5%
Arkansas$18$486232,615-14.0%
Louisiana$17$607093,498-16.3%
Iowa$17$625462,552-16.6%
Pennsylvania$17$681,1483,736-16.7%
Wisconsin$17$1207132,116-18.6%
New Hampshire$17$82189448-18.9%
Massachusetts$17$636923,017-19.1%
Kentucky$17$554841,360-19.2%
Nebraska$17$544181,246-19.8%
Minnesota$16$757511,960-20.3%
Oregon$16$563941,063-20.4%
Missouri$16$521,0425,052-21.2%
Oklahoma$16$566952,700-22.7%
Indiana$16$666731,998-23.6%
South Dakota$16$43151407-23.6%
Ohio$15$591,0524,369-25.7%
Montana$15$50113324-26.7%
Idaho$15$74181439-27.1%
North Dakota$15$6994268-29.5%
Vermont$14$6558177-33.2%
West Virginia$13$57224687-35.5%
Maine$13$57136279-35.9%

⚠️ 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