72070

X-ray of middle spine, 2 views

Medicare pricing data for 50,602 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $11 in Maine to $27 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 middle spine, 2 views (HCPCS code 72070) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.20, but hospitals typically charge $85.43 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.04

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.20, your out-of-pocket cost would be approximately $4.04. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$20.20
Average Hospital Charge
$85.43
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$85.43
Medicare Allowed$20.20
Medicare Payment$14.87

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $14.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$27$1181,4599,176+36.0%
Alaska$26$170165643+28.5%
Florida$25$1022,98419,510+23.8%
Nevada$25$1273702,358+23.6%
California$25$994,19526,577+22.2%
Arizona$24$1197964,632+19.9%
Puerto Rico$24$29120434+19.7%
Delaware$24$971481,489+19.2%
Maryland$24$701,0519,981+18.8%
New York$23$932,40219,790+13.7%
Wyoming$23$119116628+13.0%
District of Columbia$22$76118723+10.0%
Alabama$22$771,1004,988+10.0%
Rhode Island$22$862041,306+9.5%
Connecticut$21$767233,672+4.8%
Colorado$21$839745,418+2.8%
Texas$21$973,69722,792+2.5%
Georgia$21$1061,6147,133+2.0%
Virginia$20$861,5579,100-0.4%
Tennessee$20$731,5789,186-2.3%
South Carolina$20$891,1186,321-3.0%
New Mexico$19$872321,342-5.2%
North Carolina$19$752,72913,445-8.2%
Illinois$18$1031,5468,549-9.1%
Hawaii$18$69154755-10.5%
Kentucky$18$726043,159-10.6%
Washington$18$841,2296,392-11.1%
Oklahoma$18$668164,283-11.6%
New Hampshire$18$1163011,846-11.8%
Louisiana$18$768465,089-12.7%
Mississippi$18$787044,011-12.8%
Indiana$18$809524,431-13.0%
Kansas$18$665983,157-13.1%
South Dakota$17$64242905-13.9%
Utah$17$543451,666-14.8%
Minnesota$17$751,3036,837-15.9%
Michigan$17$741,3657,684-16.5%
Nebraska$17$635672,601-18.1%
Pennsylvania$16$671,85510,801-18.6%
Massachusetts$16$661,0467,718-19.5%
Iowa$16$654852,593-21.3%
Arkansas$16$569115,392-21.3%
Oregon$16$556062,712-23.2%
Missouri$15$611,0706,456-23.4%
Wisconsin$15$1289364,190-23.4%
Ohio$15$611,4479,332-24.4%
Montana$15$582291,154-24.5%
Idaho$14$682341,083-30.4%
Vermont$13$6384435-33.2%
North Dakota$13$60142770-34.2%
West Virginia$12$582491,172-41.6%
Maine$11$442431,131-44.3%

⚠️ 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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