72083

X-ray of entire middle and lower spine, 4-5 views

Medicare pricing data for 3,350 providers across 46 states

🤖AI Overview

Prices vary significantly by location — from $16 in Arkansas to $93 in District of Columbia. 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 entire middle and lower spine, 4-5 views (HCPCS code 72083) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.17, but hospitals typically charge $151.45 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.03

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $40.17, your out-of-pocket cost would be approximately $8.03. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$40.17
Average Hospital Charge
$151.45
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$151.45
Medicare Allowed$40.17
Medicare Payment$30.21

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $30.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$93$597325+131.0%
Alaska$86$4021158+113.1%
New Hampshire$79$3902871+97.4%
Nevada$77$323935+92.9%
Puerto Rico$77$791017+91.3%
South Carolina$67$21278336+65.8%
Georgia$66$305125376+65.5%
Alabama$59$13056260+45.9%
Tennessee$57$211110459+41.0%
New Jersey$53$17265174+33.2%
California$53$1742951,190+32.8%
Minnesota$52$193100429+28.6%
Texas$50$173177560+25.5%
Nebraska$49$1761942+22.6%
Louisiana$49$2303264+21.7%
Colorado$46$14486332+15.7%
North Carolina$46$148126608+15.7%
Florida$45$256197909+12.6%
Maryland$39$103683,168-3.6%
Arizona$38$12381299-5.1%
Indiana$37$114141724-7.1%
New York$37$1922312,829-7.9%
Iowa$37$15441136-8.5%
Mississippi$36$1122250-11.2%
Illinois$35$1501341,165-13.5%
Washington$35$10183579-13.7%
Kentucky$33$13032121-19.0%
Connecticut$31$1223356-22.0%
Virginia$31$104132653-22.7%
South Dakota$29$811250-27.6%
Wisconsin$27$15446125-32.3%
Massachusetts$27$10965149-32.8%
Pennsylvania$27$102105283-33.5%
Ohio$27$96123372-34.0%
Michigan$25$10394430-38.9%
Oregon$24$6952220-39.3%
Oklahoma$24$1013576-41.2%
Delaware$23$7240108-42.7%
Kansas$22$952154-46.4%
Hawaii$18$49886-55.9%
Missouri$18$8498567-56.4%
Vermont$17$87613-57.8%
West Virginia$17$611326-58.4%
Idaho$17$731134-58.5%
Utah$17$60833-58.7%
Arkansas$16$74947-59.1%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber