73010

X-ray of shoulder blade

Medicare pricing data for 12,473 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $9 in Vermont to $24 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 of shoulder blade (HCPCS code 73010) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.89, but hospitals typically charge $93.00 — a 4.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.78

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.89, your out-of-pocket cost would be approximately $3.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.89
Average Hospital Charge
$93.00
Markup Ratio
4.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$93.00
Medicare Allowed$18.89
Medicare Payment$14.02

Hospitals charge 4.9x more than what Medicare allows for this procedure. Medicare actually pays $14.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$24$1333411,178+24.4%
Puerto Rico$23$251436+24.1%
New York$23$1886993,734+23.8%
California$23$921,1164,678+23.1%
Florida$21$987583,751+12.6%
Montana$21$9159351+12.5%
Louisiana$20$711681,843+5.8%
New Hampshire$20$15385300+5.6%
Texas$20$817913,426+4.7%
Alabama$20$992281,959+4.3%
Mississippi$20$1121482,583+3.5%
Delaware$20$9250188+3.2%
Virginia$19$683681,364+2.5%
Kentucky$19$52180873+2.2%
Utah$19$6389287-0.3%
Tennessee$18$783742,134-2.7%
South Carolina$18$972411,110-3.2%
Georgia$18$1033061,024-4.1%
Pennsylvania$18$775651,791-6.8%
Nevada$17$9189204-8.6%
Colorado$17$79218492-9.3%
Arizona$17$75204404-10.4%
Connecticut$16$90149226-14.7%
Washington$16$67265587-17.9%
Ohio$15$594291,182-18.2%
New Mexico$15$5264184-18.3%
Alaska$15$1182430-19.4%
Wyoming$15$683655-21.5%
West Virginia$14$6796239-25.7%
Maryland$14$45232756-26.3%
Michigan$14$57360682-28.2%
Rhode Island$13$626498-29.3%
Illinois$13$995701,224-29.5%
Iowa$13$59147228-30.8%
North Carolina$13$60464664-31.4%
Missouri$13$78308634-31.8%
Massachusetts$13$59359604-32.1%
Oregon$13$47127177-33.5%
Indiana$12$67234319-34.0%
Arkansas$12$44124192-34.3%
Idaho$12$635582-35.3%
Oklahoma$12$51135213-37.3%
Nebraska$12$49123203-38.0%
South Dakota$12$434870-38.0%
Kansas$12$49158244-38.4%
Minnesota$11$58352541-39.3%
Wisconsin$11$111269400-39.5%
Hawaii$11$403455-40.1%
North Dakota$10$553557-46.3%
Maine$10$475160-46.4%
District of Columbia$9$371619-50.3%
Vermont$9$412135-54.5%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber