73030

X-ray of shoulder, minimum of 2 views

Medicare pricing data for 104,304 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $12 in Vermont to $29 in New Jersey. Where you get this procedure matters more than almost any other factor. This is one of the most commonly performed procedures in Medicare, with 2.8 million services annually. Even small pricing inefficiencies here affect millions of patients. 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, minimum of 2 views (HCPCS code 73030) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.42, but hospitals typically charge $87.32 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.48

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $22.42, your out-of-pocket cost would be approximately $4.48. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$22.42
Average Hospital Charge
$87.32
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$87.32
Medicare Allowed$22.42
Medicare Payment$16.34

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $16.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$29$1172,72875,520+28.2%
District of Columbia$27$1112175,722+20.3%
Florida$27$1005,978204,921+19.9%
Alaska$27$1853535,914+19.2%
Nevada$26$14585422,162+15.6%
Arizona$26$951,84959,051+14.9%
California$26$908,590225,509+14.1%
Connecticut$25$931,24630,371+10.6%
Delaware$25$10727212,882+10.3%
New York$25$984,745150,773+9.3%
Maryland$24$671,95491,068+7.6%
Rhode Island$24$8337211,175+7.4%
Georgia$24$1063,51673,523+6.6%
Wyoming$24$1012916,895+5.4%
Colorado$23$821,89148,735+4.6%
South Carolina$23$892,30659,212+4.5%
Virginia$23$982,95786,745+3.2%
Tennessee$23$823,14874,263+2.5%
Alabama$23$802,12641,083+2.4%
Puerto Rico$23$302051,624+2.0%
Texas$23$867,522182,701+0.9%
Utah$23$611,06117,807+0.8%
North Carolina$22$794,82693,804-1.5%
Kentucky$22$721,67135,555-2.9%
Massachusetts$21$801,99578,195-5.0%
Mississippi$21$841,20232,764-5.1%
Illinois$21$1093,391119,423-5.9%
Louisiana$21$811,50041,502-6.0%
Washington$21$822,68460,590-6.1%
Kansas$21$701,41734,553-7.0%
Indiana$21$942,16555,189-7.3%
Pennsylvania$21$803,748111,870-8.5%
Nebraska$20$711,10522,996-10.2%
Oregon$20$641,37029,054-10.2%
New Hampshire$20$12154716,156-10.6%
Hawaii$20$643277,257-11.8%
Montana$20$6348212,695-12.8%
Michigan$19$663,11174,121-13.5%
Arkansas$19$581,47536,235-15.2%
Oklahoma$19$631,82141,035-15.7%
New Mexico$19$7753113,870-16.3%
Iowa$18$751,26029,872-18.2%
Ohio$18$663,29395,772-19.2%
Minnesota$18$772,80759,843-20.6%
Wisconsin$18$1432,08346,378-21.7%
Missouri$18$742,41266,246-21.9%
South Dakota$18$7052012,692-21.9%
Idaho$17$7875714,882-25.6%
North Dakota$15$622619,767-31.4%
Maine$14$484809,901-35.9%
West Virginia$14$6561613,430-37.2%
Vermont$12$801745,690-47.5%

⚠️ 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