72080

X-ray of middle and lower spine, 2 views

Medicare pricing data for 14,618 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $10 in Vermont to $28 in Puerto Rico. 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 and lower spine, 2 views (HCPCS code 72080) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.06, but hospitals typically charge $87.20 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.06, your out-of-pocket cost would be approximately $4.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$20.06
Average Hospital Charge
$87.20
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$87.20
Medicare Allowed$20.06
Medicare Payment$14.89

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $14.89 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$28$313264+39.7%
Alaska$28$20164176+38.6%
Florida$26$1088352,414+27.8%
Nevada$26$156133342+27.3%
New Jersey$25$111227578+24.3%
Rhode Island$25$9430109+22.8%
New York$24$895782,011+20.5%
California$23$1001,2913,867+16.6%
Maryland$23$683001,585+15.6%
Alabama$23$75180614+15.5%
Delaware$23$8045171+14.5%
Tennessee$23$783441,146+12.8%
Connecticut$23$87177452+12.7%
South Carolina$22$1063971,747+12.1%
Wyoming$22$723893+10.7%
North Carolina$22$847482,428+9.7%
Mississippi$22$103135759+9.5%
Louisiana$21$94214717+6.9%
Georgia$21$1154161,156+6.6%
Texas$21$998532,500+6.3%
Kentucky$21$74130370+3.4%
Arizona$21$102305849+3.4%
Michigan$21$783871,447+3.3%
New Hampshire$21$13679262+2.6%
Indiana$20$93271790-1.0%
Virginia$19$1094731,755-5.5%
District of Columbia$18$6233111-9.4%
Washington$18$735091,489-9.8%
Wisconsin$18$1564711,532-11.1%
South Dakota$17$7298556-13.4%
Oklahoma$17$57213700-13.8%
Illinois$17$984711,581-14.8%
Colorado$17$74306760-15.8%
Minnesota$17$745981,638-16.5%
Ohio$17$574531,547-16.9%
Pennsylvania$17$666061,911-17.1%
Missouri$16$623251,530-17.9%
Massachusetts$16$75231537-19.9%
Kansas$16$53168637-21.2%
Montana$16$5592350-22.2%
Iowa$16$72170489-22.3%
Utah$16$48111310-22.3%
Nebraska$16$61132502-22.6%
Hawaii$15$5656120-24.5%
New Mexico$15$5763129-24.8%
Oregon$15$50246709-25.3%
Arkansas$14$46208740-28.8%
Idaho$14$7397231-30.1%
North Dakota$14$5868233-32.6%
West Virginia$11$5486209-45.8%
Maine$10$3775195-49.3%
Vermont$10$5335123-51.0%

⚠️ 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