72120

X-ray lower and sacral spine, 2-3 views bending views

Medicare pricing data for 9,989 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $11 in Vermont to $39 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 lower and sacral spine, 2-3 views bending views (HCPCS code 72120) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.14, but hospitals typically charge $113.03 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $26.14, your out-of-pocket cost would be approximately $5.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$26.14
Average Hospital Charge
$113.03
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$113.03
Medicare Allowed$26.14
Medicare Payment$19.49

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $19.49 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$39$2613374+48.1%
Rhode Island$36$12337181+39.4%
California$36$1379614,751+36.8%
New Jersey$35$168288859+34.0%
Maryland$35$1082651,576+33.7%
Oklahoma$32$73971,058+23.9%
New York$32$1253751,300+22.4%
Illinois$32$1594834,127+21.5%
Florida$32$1615462,452+20.5%
Connecticut$30$222120718+14.6%
Iowa$29$13190781+9.9%
North Carolina$28$1163481,546+8.6%
Nevada$28$13557161+7.9%
Arizona$27$133156504+3.8%
Texas$26$1206503,142-1.1%
Georgia$25$1342911,030-4.6%
South Carolina$25$94110326-5.0%
Tennessee$25$1012611,565-5.1%
Nebraska$24$80143818-6.5%
Colorado$23$892141,085-11.7%
Mississippi$23$9291463-12.9%
Washington$22$103223616-14.6%
Missouri$22$822661,789-15.6%
Virginia$22$1143461,643-16.8%
Alabama$22$73145613-17.3%
Oregon$21$73135568-18.5%
New Hampshire$21$9871274-18.9%
District of Columbia$21$742796-19.1%
Michigan$21$57247966-20.2%
Kentucky$21$75131558-21.2%
Wyoming$20$482148-22.6%
Massachusetts$20$105163543-23.0%
New Mexico$20$6938123-23.4%
Utah$20$5960210-23.4%
Ohio$19$763961,948-25.7%
Idaho$19$7953131-27.0%
Minnesota$19$753271,249-27.5%
Kansas$19$6982272-28.0%
Hawaii$19$702258-28.6%
Wisconsin$19$1742571,230-28.8%
Maine$18$702938-29.4%
South Dakota$18$5580386-29.8%
Pennsylvania$17$685071,734-33.3%
Louisiana$17$71161708-34.0%
Indiana$17$76283825-35.3%
Delaware$16$603566-38.4%
Arkansas$15$5786406-41.6%
Montana$15$4835196-43.0%
West Virginia$13$5977249-49.3%
North Dakota$12$5141190-54.2%
Vermont$11$511845-59.7%

⚠️ 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