73020

X-ray of shoulder, 1 view

Medicare pricing data for 21,250 providers across 52 states

🤖AI Overview

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, 1 view (HCPCS code 73020) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.75, but hospitals typically charge $50.05 — a 4.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $10.75, your out-of-pocket cost would be approximately $2.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$10.75
Average Hospital Charge
$50.05
Markup Ratio
4.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$50.05
Medicare Allowed$10.75
Medicare Payment$8.08

Hospitals charge 4.7x more than what Medicare allows for this procedure. Medicare actually pays $8.08 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$15$6983765+37.7%
New Jersey$14$705792,738+28.2%
California$13$591,9569,508+17.5%
Alabama$12$634583,075+15.0%
South Dakota$12$4190305+13.9%
Alaska$12$8349125+12.5%
Kentucky$12$502901,359+9.7%
Puerto Rico$12$1943117+9.5%
Illinois$12$618523,729+8.2%
Arkansas$11$362561,354+5.6%
Arizona$11$633621,834+4.1%
Nevada$11$55168653+3.6%
Idaho$11$64143809+3.3%
Florida$11$581,4208,788+2.9%
Indiana$11$574081,391+2.6%
Pennsylvania$11$459074,166+2.6%
Virginia$11$455712,967+2.6%
South Carolina$11$583411,214+2.5%
Maryland$11$324438,158+0.6%
Oklahoma$11$542751,562+0.5%
Texas$11$581,3525,443+0.4%
Tennessee$11$565733,067-1.3%
New York$11$431,0005,253-1.7%
West Virginia$10$43128740-2.7%
Kansas$10$422471,402-3.0%
Iowa$10$492161,359-3.8%
Wyoming$10$6455163-4.2%
Georgia$10$576702,272-4.7%
North Carolina$10$477883,529-5.5%
Colorado$10$494222,177-6.7%
New Hampshire$10$63115273-7.0%
Michigan$10$416802,758-7.3%
Oregon$10$40230982-7.9%
Utah$10$33160556-8.0%
North Dakota$10$3573206-9.9%
Louisiana$10$422731,514-10.0%
Ohio$10$498134,125-10.0%
Massachusetts$10$435082,261-10.2%
Connecticut$10$49258901-10.6%
New Mexico$9$4796292-12.0%
Washington$9$414632,527-12.8%
Missouri$9$374852,958-14.8%
Hawaii$9$3277414-15.5%
Nebraska$9$44181879-16.7%
Rhode Island$9$3882326-17.1%
Montana$9$3597477-17.6%
Wisconsin$9$814801,607-18.0%
District of Columbia$9$3060567-18.3%
Minnesota$9$425922,400-19.7%
Mississippi$9$402371,709-20.8%
Maine$8$3198356-26.1%
Vermont$8$6134175-26.7%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber