72050

X-ray of upper spine, 4-5 views

Medicare pricing data for 43,787 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $16 in West Virginia to $47 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, 4-5 views (HCPCS code 72050) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.62, but hospitals typically charge $133.17 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $33.62, your out-of-pocket cost would be approximately $6.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$33.62
Average Hospital Charge
$133.17
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$133.17
Medicare Allowed$33.62
Medicare Payment$24.42

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $24.42 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$47$1731,31511,986+40.9%
Alaska$45$2671431,179+34.4%
Nevada$44$2244013,764+29.7%
Maryland$43$12494810,655+27.0%
Florida$42$1662,58124,941+23.6%
California$41$1413,51131,749+21.5%
Puerto Rico$41$5374170+21.2%
Arizona$41$1616917,476+21.1%
Delaware$39$1421331,849+17.0%
New York$38$1471,81016,820+14.2%
Rhode Island$38$1321821,484+13.1%
Connecticut$37$1295693,637+11.0%
Texas$36$1412,66520,985+7.3%
Colorado$35$1288947,669+4.2%
District of Columbia$35$109115888+4.1%
Louisiana$35$1366907,248+4.0%
Hawaii$35$116150963+3.9%
Alabama$35$1118466,907+2.7%
Georgia$34$1551,4349,997+2.3%
Wyoming$34$1551321,036+0.7%
Tennessee$33$1161,1608,494-2.9%
South Carolina$33$1261,0308,924-3.0%
Virginia$32$1321,56512,427-3.6%
South Dakota$32$1262151,312-3.7%
Washington$32$1379536,814-4.3%
New Hampshire$32$1812701,944-5.8%
Nebraska$31$1134212,885-6.9%
North Carolina$31$1192,18713,680-9.2%
Indiana$30$1349336,361-11.5%
Illinois$29$1521,85017,110-13.2%
Massachusetts$29$1149448,588-13.8%
Kansas$29$895163,043-14.6%
Mississippi$29$1424013,153-15.1%
Iowa$28$1164062,926-15.3%
New Mexico$28$1222231,632-15.3%
Minnesota$28$1229425,097-16.2%
Utah$28$823032,245-16.8%
Oklahoma$28$945824,228-18.1%
Michigan$27$1041,31910,828-20.4%
Pennsylvania$27$1181,90015,728-20.8%
Wisconsin$27$1878594,538-20.9%
Arkansas$26$974353,308-21.7%
Kentucky$26$1016484,225-22.4%
Oregon$26$865033,307-22.7%
Missouri$25$991,0707,764-26.8%
Montana$23$832041,396-31.5%
Idaho$22$1312121,556-33.4%
Ohio$22$981,64913,597-34.4%
Maine$19$732701,511-44.8%
Vermont$19$9080499-44.9%
North Dakota$18$79100512-47.1%
West Virginia$16$793112,404-51.0%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber