X-ray of upper spine, 2-3 views
Medicare pricing data for 67,421 providers across 52 states
Prices vary significantly by location — from $12 in Maine to $34 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 upper spine, 2-3 views (HCPCS code 72040) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.16, but hospitals typically charge $93.34 — a 3.9x 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 $24.16, your out-of-pocket cost would be approximately $4.83. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $17.57 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $34 | $147 | 1,736 | 13,533 | +39.9% |
| California | $29 | $113 | 5,516 | 53,699 | +22.1% |
| Alaska | $29 | $163 | 213 | 1,937 | +21.9% |
| Florida | $29 | $111 | 4,070 | 40,017 | +19.0% |
| New York | $29 | $113 | 2,879 | 33,265 | +18.8% |
| Maryland | $29 | $80 | 1,259 | 18,187 | +18.6% |
| Arizona | $28 | $115 | 1,100 | 12,270 | +16.8% |
| Puerto Rico | $28 | $34 | 172 | 853 | +16.6% |
| District of Columbia | $28 | $87 | 159 | 1,768 | +15.1% |
| Wyoming | $28 | $127 | 153 | 1,315 | +15.0% |
| Nevada | $28 | $128 | 565 | 4,378 | +14.7% |
| Connecticut | $27 | $91 | 896 | 7,098 | +11.7% |
| Alabama | $26 | $79 | 1,536 | 11,984 | +9.6% |
| Delaware | $26 | $95 | 185 | 2,373 | +8.6% |
| Georgia | $26 | $119 | 2,469 | 19,833 | +8.2% |
| Rhode Island | $25 | $81 | 241 | 1,821 | +3.2% |
| North Carolina | $25 | $86 | 3,256 | 22,993 | +2.8% |
| Virginia | $25 | $97 | 1,855 | 17,789 | +2.4% |
| Texas | $25 | $101 | 4,910 | 53,967 | +1.9% |
| South Carolina | $24 | $93 | 1,573 | 14,606 | +0.8% |
| Tennessee | $24 | $85 | 2,315 | 20,199 | +0.6% |
| Colorado | $24 | $81 | 1,209 | 10,077 | -2.1% |
| New Hampshire | $23 | $123 | 364 | 3,832 | -5.9% |
| Louisiana | $23 | $83 | 1,086 | 12,588 | -6.8% |
| Kentucky | $22 | $70 | 942 | 7,756 | -10.1% |
| Illinois | $22 | $104 | 2,306 | 22,181 | -10.8% |
| Mississippi | $22 | $77 | 917 | 9,201 | -10.8% |
| New Mexico | $21 | $84 | 314 | 2,282 | -11.1% |
| Washington | $21 | $83 | 1,614 | 12,349 | -11.9% |
| Indiana | $21 | $89 | 1,397 | 14,818 | -12.4% |
| Arkansas | $21 | $65 | 1,129 | 10,492 | -13.1% |
| Hawaii | $21 | $75 | 179 | 1,273 | -13.4% |
| Oklahoma | $21 | $71 | 1,235 | 10,657 | -15.0% |
| Utah | $20 | $57 | 579 | 3,551 | -15.2% |
| Michigan | $20 | $73 | 1,610 | 13,433 | -16.4% |
| Minnesota | $20 | $81 | 1,749 | 14,156 | -17.2% |
| Kansas | $20 | $68 | 892 | 6,229 | -17.8% |
| Massachusetts | $20 | $72 | 1,212 | 13,182 | -17.8% |
| Pennsylvania | $20 | $75 | 2,284 | 20,166 | -18.8% |
| South Dakota | $19 | $59 | 317 | 2,296 | -20.8% |
| Oregon | $19 | $60 | 862 | 7,331 | -21.7% |
| Wisconsin | $19 | $135 | 1,386 | 10,268 | -21.8% |
| Ohio | $19 | $68 | 2,047 | 21,076 | -22.2% |
| Nebraska | $19 | $63 | 714 | 5,053 | -23.3% |
| Iowa | $18 | $72 | 872 | 6,898 | -24.0% |
| Missouri | $18 | $65 | 1,574 | 15,297 | -25.7% |
| Montana | $17 | $55 | 287 | 2,341 | -30.8% |
| Idaho | $16 | $81 | 403 | 2,690 | -32.0% |
| North Dakota | $16 | $65 | 172 | 1,590 | -32.9% |
| Vermont | $14 | $63 | 95 | 677 | -43.8% |
| West Virginia | $14 | $65 | 325 | 2,415 | -44.0% |
| Maine | $12 | $48 | 237 | 1,360 | -49.0% |
⚠️ 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