X-ray of spine, 1 view
Medicare pricing data for 13,298 providers across 51 states
This procedure has a 6.1x markup — hospitals charge $78.33 but Medicare allows only $12.84. Uninsured patients may face bills 6.1 times higher than what insurance negotiates. Prices vary significantly by location — from $7 in West Virginia to $19 in California. 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 spine, 1 view (HCPCS code 72020) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.84, but hospitals typically charge $78.33 — a 6.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.84, your out-of-pocket cost would be approximately $2.57. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.1x more than what Medicare allows for this procedure. Medicare actually pays $9.75 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $19 | $200 | 1,082 | 19,615 | +48.8% |
| Texas | $17 | $62 | 949 | 10,345 | +31.2% |
| Florida | $16 | $72 | 764 | 6,893 | +27.8% |
| Delaware | $16 | $87 | 46 | 278 | +20.8% |
| New Jersey | $15 | $78 | 300 | 1,779 | +19.5% |
| South Dakota | $15 | $44 | 44 | 135 | +15.0% |
| Wyoming | $13 | $44 | 24 | 58 | +2.5% |
| Iowa | $13 | $49 | 179 | 1,665 | -1.9% |
| Connecticut | $12 | $55 | 203 | 1,084 | -4.3% |
| Nevada | $12 | $59 | 94 | 508 | -8.3% |
| New Hampshire | $11 | $75 | 101 | 666 | -11.5% |
| Tennessee | $11 | $45 | 326 | 2,557 | -11.5% |
| Indiana | $11 | $55 | 270 | 1,686 | -11.7% |
| New York | $11 | $44 | 554 | 2,975 | -14.1% |
| Maryland | $11 | $33 | 292 | 4,347 | -14.5% |
| Alaska | $11 | $64 | 48 | 285 | -15.3% |
| Mississippi | $11 | $45 | 125 | 803 | -16.0% |
| Alabama | $11 | $43 | 142 | 654 | -16.1% |
| Virginia | $10 | $43 | 347 | 1,591 | -18.5% |
| District of Columbia | $10 | $37 | 39 | 225 | -20.6% |
| South Carolina | $10 | $50 | 170 | 685 | -20.8% |
| Massachusetts | $10 | $38 | 343 | 3,407 | -20.9% |
| Wisconsin | $10 | $60 | 364 | 2,024 | -21.2% |
| Arizona | $10 | $77 | 213 | 980 | -21.6% |
| Kentucky | $9 | $35 | 156 | 608 | -26.2% |
| Pennsylvania | $9 | $34 | 659 | 4,837 | -26.3% |
| Oklahoma | $9 | $38 | 132 | 887 | -26.6% |
| Utah | $9 | $25 | 97 | 369 | -27.1% |
| Washington | $9 | $44 | 393 | 2,439 | -27.4% |
| Georgia | $9 | $66 | 403 | 1,806 | -28.4% |
| Illinois | $9 | $62 | 567 | 2,777 | -28.6% |
| Minnesota | $9 | $44 | 486 | 2,413 | -28.6% |
| North Carolina | $9 | $46 | 585 | 2,419 | -29.8% |
| Michigan | $9 | $40 | 352 | 1,902 | -30.1% |
| New Mexico | $9 | $35 | 52 | 181 | -31.0% |
| Colorado | $9 | $40 | 277 | 1,408 | -31.0% |
| Arkansas | $9 | $23 | 184 | 1,468 | -31.8% |
| Oregon | $9 | $34 | 157 | 531 | -32.6% |
| Missouri | $9 | $43 | 349 | 2,443 | -33.3% |
| Ohio | $8 | $39 | 563 | 3,591 | -34.7% |
| Nebraska | $8 | $37 | 149 | 1,678 | -36.8% |
| Hawaii | $8 | $42 | 44 | 245 | -37.2% |
| Louisiana | $8 | $38 | 164 | 654 | -37.3% |
| North Dakota | $8 | $43 | 43 | 172 | -37.9% |
| Kansas | $8 | $26 | 145 | 1,813 | -38.4% |
| Rhode Island | $8 | $30 | 45 | 316 | -38.9% |
| Idaho | $8 | $57 | 61 | 539 | -39.6% |
| Montana | $8 | $24 | 35 | 170 | -40.0% |
| Maine | $8 | $27 | 84 | 339 | -40.7% |
| Vermont | $8 | $40 | 25 | 148 | -41.1% |
| West Virginia | $7 | $30 | 51 | 119 | -41.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber