72190

X-ray of pelvis, minimum of 3 views

Medicare pricing data for 17,386 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $13 in Maine to $32 in Delaware. 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 pelvis, minimum of 3 views (HCPCS code 72190) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.20, but hospitals typically charge $94.04 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.20, your out-of-pocket cost would be approximately $4.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.20
Average Hospital Charge
$94.04
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$94.04
Medicare Allowed$24.20
Medicare Payment$18.09

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $18.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$32$16245280+34.2%
Puerto Rico$31$3476261+27.2%
Wyoming$30$8739137+25.8%
Arizona$30$1103931,183+24.4%
Illinois$30$1297163,890+24.3%
Texas$30$1001,2475,789+24.2%
North Dakota$30$9176701+22.1%
Alaska$29$19958126+19.8%
Oklahoma$29$82164662+18.6%
New Jersey$28$1174031,095+17.1%
South Carolina$28$110273993+16.1%
Connecticut$27$1312221,504+12.5%
Florida$27$1071,1264,019+12.2%
Montana$26$82128528+5.8%
Nevada$25$214171476+4.5%
Colorado$25$824071,391+3.8%
Washington$25$824191,602+3.7%
Tennessee$25$964331,476+3.5%
Georgia$25$1145621,710+2.7%
Utah$25$72132399+2.3%
California$25$1051,5425,180+2.0%
New York$24$829093,698+1.1%
North Carolina$24$766152,622-0.8%
Oregon$24$77207555-1.9%
Kentucky$24$77233756-2.4%
Indiana$23$104312902-4.5%
South Dakota$23$7494277-4.8%
District of Columbia$23$7647105-5.8%
Maryland$23$703422,096-6.4%
Louisiana$22$99234696-7.1%
Rhode Island$22$7165232-11.1%
Nebraska$21$67122503-12.4%
Kansas$21$66199700-12.5%
Alabama$21$76191688-13.0%
Virginia$21$1144311,528-14.4%
New Hampshire$20$161119464-15.4%
Ohio$20$675731,788-19.3%
Minnesota$19$865191,650-20.0%
Pennsylvania$19$728302,547-20.2%
Michigan$19$686231,737-21.1%
Hawaii$19$6672166-21.6%
Missouri$19$734211,719-21.9%
Iowa$19$78124495-22.7%
Mississippi$18$69227714-24.5%
Idaho$18$81124346-24.5%
Massachusetts$18$674041,612-26.7%
Wisconsin$17$1383111,036-30.7%
Arkansas$16$54138750-33.1%
New Mexico$14$6673253-41.4%
West Virginia$13$5386336-45.7%
Vermont$13$6435169-47.7%
Maine$13$4060135-48.1%

⚠️ 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