72084

X-ray of entire middle and lower spine, minimum of 6 views

Medicare pricing data for 3,070 providers across 47 states

🤖AI Overview

Prices vary significantly by location — from $17 in Mississippi to $106 in Alaska. 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, minimum of 6 views (HCPCS code 72084) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $50.42, but hospitals typically charge $186.21 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.08

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $50.42, your out-of-pocket cost would be approximately $10.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$50.42
Average Hospital Charge
$186.21
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$186.21
Medicare Allowed$50.42
Medicare Payment$38.03

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $38.03 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$106$535513+110.7%
Rhode Island$101$256213+100.3%
Wyoming$93$466848+84.9%
Nevada$93$8492797+83.9%
New Hampshire$93$4272073+83.8%
South Dakota$86$1991320+71.3%
Puerto Rico$82$933993+62.2%
Washington$81$22762990+60.5%
Georgia$80$354131435+58.9%
New Jersey$77$24289170+53.5%
Louisiana$73$35841183+44.2%
Tennessee$69$22884233+37.1%
Oregon$67$1693398+33.6%
Florida$65$265169638+29.8%
Minnesota$64$24277308+26.3%
North Carolina$63$17857152+24.2%
Massachusetts$61$20855142+21.9%
Colorado$59$18370314+17.3%
Indiana$58$161104390+15.0%
Nebraska$57$1922036+13.4%
Connecticut$57$1822551+13.1%
South Carolina$57$1894768+13.1%
Maryland$57$162671,062+12.9%
New York$53$1822451,912+5.9%
Iowa$50$15136101-1.2%
Kentucky$47$13440115-7.4%
Texas$46$164146629-9.4%
Illinois$46$224131470-9.6%
Virginia$45$148149585-11.7%
Oklahoma$42$1182655-16.9%
Alabama$41$14870605-19.7%
California$38$1692901,539-25.1%
Hawaii$37$1611395-27.2%
Ohio$32$131103334-36.0%
Pennsylvania$32$126117259-36.6%
Kansas$30$11525133-40.5%
Arizona$28$9162459-43.6%
Michigan$28$12188282-44.9%
Wisconsin$25$17320102-50.3%
North Dakota$22$631950-57.1%
Missouri$21$12668995-57.8%
District of Columbia$21$64514-58.8%
Vermont$20$1041437-60.8%
Utah$19$581929-61.3%
Idaho$19$2061749-62.1%
West Virginia$18$793585-63.4%
Mississippi$17$662028-66.2%

⚠️ 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