73070

X-ray of elbow, 2 views

Medicare pricing data for 38,789 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $9 in Vermont to $20 in Rhode Island. 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 elbow, 2 views (HCPCS code 73070) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.36, but hospitals typically charge $62.11 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.36, your out-of-pocket cost would be approximately $3.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.36
Average Hospital Charge
$62.11
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$62.11
Medicare Allowed$16.36
Medicare Payment$12.15

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $12.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Rhode Island$20$68130606+21.9%
New Jersey$20$831,0074,587+21.0%
Delaware$20$871521,267+20.8%
Florida$19$692,47815,145+16.1%
Connecticut$19$714972,158+16.0%
District of Columbia$18$6387353+12.0%
Nevada$18$842861,250+11.7%
California$18$683,06314,463+10.8%
Arizona$18$736813,141+10.2%
Alabama$18$638734,038+10.1%
Louisiana$18$625933,878+9.5%
Wyoming$18$77100294+7.2%
Utah$18$50244756+7.1%
New York$17$641,71610,227+6.2%
North Carolina$17$621,6116,843+5.9%
Kentucky$17$545922,835+5.4%
South Carolina$17$677623,834+4.9%
Virginia$17$749815,124+4.6%
New Hampshire$17$93170639+4.3%
Georgia$17$801,2995,344+4.2%
Massachusetts$17$636393,140+3.3%
Alaska$17$10396255+2.3%
Mississippi$17$646123,871+1.4%
Tennessee$16$591,3077,550-0.6%
Texas$16$643,21517,878-1.0%
Colorado$16$646272,647-1.1%
Maryland$16$4478211,389-1.3%
Michigan$16$571,1054,612-3.5%
Puerto Rico$16$22109320-3.5%
Pennsylvania$16$551,5497,263-4.4%
Oklahoma$15$536903,744-6.0%
Illinois$15$801,2006,508-6.8%
Indiana$15$648604,019-7.2%
Kansas$15$504671,960-7.3%
Iowa$14$583762,143-11.6%
Nebraska$14$553581,522-12.3%
Oregon$14$474971,731-12.5%
New Mexico$14$58169618-15.0%
Arkansas$14$417284,443-15.5%
Montana$14$47148680-16.2%
Wisconsin$14$1037242,411-16.3%
Ohio$14$481,2757,258-16.4%
Idaho$14$55215780-16.8%
Washington$13$458563,944-18.7%
Minnesota$13$581,0624,213-20.2%
West Virginia$13$55198888-20.5%
Hawaii$12$39132684-24.9%
Missouri$12$479445,511-25.1%
South Dakota$12$48152488-27.8%
Maine$12$37184653-27.9%
North Dakota$10$59102358-36.1%
Vermont$9$4454261-43.6%

⚠️ 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