72114

X-ray lower and sacral spine, minimum of 6 views

Medicare pricing data for 15,778 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $15 in Vermont to $52 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 lower and sacral spine, minimum of 6 views (HCPCS code 72114) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.37, but hospitals typically charge $167.84 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.07

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $40.37, your out-of-pocket cost would be approximately $8.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$40.37
Average Hospital Charge
$167.84
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$167.84
Medicare Allowed$40.37
Medicare Payment$29.72

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $29.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$52$2086193,261+29.5%
California$52$1971,5258,029+29.1%
District of Columbia$52$25940183+27.6%
Rhode Island$51$22445225+26.9%
Connecticut$51$185192736+26.1%
Arizona$51$1893833,615+25.7%
Florida$50$1921,1939,934+24.3%
Alaska$50$29849159+23.3%
Nevada$50$15898530+23.1%
Maryland$49$1373752,916+20.4%
New York$46$1828314,713+12.9%
Utah$45$16182273+11.0%
New Hampshire$45$18073299+10.8%
Hawaii$45$16365369+10.5%
Virginia$44$1965394,790+9.8%
Wyoming$44$17945220+8.1%
Delaware$43$15368482+5.4%
Texas$42$2011,0988,170+4.0%
Mississippi$41$162118713+1.9%
Colorado$41$1513091,438+1.1%
South Dakota$41$15846380+0.6%
Georgia$37$1664462,731-9.6%
Washington$36$1763691,637-9.7%
Louisiana$36$1733542,633-10.8%
Arkansas$36$10991532-10.9%
Illinois$36$2125703,536-11.2%
Kansas$35$1241611,038-12.7%
North Carolina$34$1355502,554-15.8%
Idaho$34$16682312-16.0%
New Mexico$33$1491141,354-17.4%
Massachusetts$33$1342561,232-17.8%
Tennessee$33$1353631,562-18.6%
South Carolina$33$140212917-18.8%
Alabama$31$118141529-23.7%
Indiana$30$1403281,193-25.4%
Kentucky$30$1251931,236-25.5%
Oregon$29$106204537-27.2%
Michigan$29$1205562,948-28.9%
Oklahoma$29$129134438-28.9%
Iowa$28$14797398-29.8%
Wisconsin$28$192154560-30.3%
Missouri$27$1013481,367-32.4%
Nebraska$27$117129334-33.8%
Puerto Rico$26$901063-35.6%
Pennsylvania$25$1199204,095-37.2%
Ohio$24$1165803,157-39.5%
Minnesota$24$111243871-40.0%
Montana$22$6870196-46.7%
Maine$20$85102227-50.8%
North Dakota$18$903275-54.7%
West Virginia$16$74138777-59.5%
Vermont$15$1021563-64.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber