73080

X-ray of elbow, minimum of 3 views

Medicare pricing data for 61,095 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $10 in Vermont to $23 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 elbow, minimum of 3 views (HCPCS code 73080) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.71, but hospitals typically charge $74.87 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.54

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.71, your out-of-pocket cost would be approximately $3.54. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.71
Average Hospital Charge
$74.87
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$74.87
Medicare Allowed$17.71
Medicare Payment$13.00

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $13.00 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$23$981,88812,384+29.0%
Alaska$22$136187896+23.8%
Florida$21$853,67629,431+17.1%
California$21$815,38938,857+16.7%
Maryland$20$641,35210,706+15.6%
Nevada$20$1455473,373+14.0%
Arizona$20$871,1518,358+13.7%
New York$20$823,25728,003+13.6%
Wyoming$19$851831,018+8.4%
Georgia$19$871,85510,822+7.2%
Virginia$18$711,80413,092+3.3%
Delaware$18$751541,373+3.0%
Tennessee$18$701,4398,923+2.4%
Utah$18$516432,587+1.6%
Texas$18$803,86724,350+0.2%
South Carolina$18$831,2517,5950.0%
Connecticut$18$737844,651-0.5%
District of Columbia$17$721501,059-1.6%
Illinois$17$882,32321,346-2.3%
Colorado$17$691,1767,691-3.8%
Louisiana$17$678485,539-3.9%
Montana$17$572761,685-4.0%
Washington$17$651,4308,768-4.5%
Arkansas$17$615083,198-5.5%
Alabama$17$649645,296-6.0%
Indiana$17$751,3077,394-6.3%
Rhode Island$17$592592,211-6.3%
North Carolina$17$652,62714,030-6.8%
Pennsylvania$16$702,64717,596-7.5%
Kansas$16$617764,637-7.6%
Massachusetts$16$621,47314,232-8.1%
Nebraska$16$605553,118-8.9%
South Dakota$16$533031,692-11.0%
Oregon$16$557313,612-11.5%
Mississippi$15$705133,148-13.9%
Oklahoma$15$618194,875-13.9%
Hawaii$15$552261,340-13.9%
Kentucky$15$578314,716-14.2%
Michigan$15$521,85211,334-17.4%
Iowa$14$597033,908-18.5%
New Mexico$14$633192,342-18.8%
Missouri$14$641,3939,004-19.3%
Ohio$14$591,98412,500-19.5%
New Hampshire$14$893702,497-20.1%
Puerto Rico$14$384494-20.5%
Wisconsin$14$1151,2147,542-22.0%
Minnesota$13$601,66510,549-25.6%
Idaho$13$644202,030-27.7%
North Dakota$13$571491,065-29.0%
Maine$12$432891,472-33.8%
West Virginia$11$513792,411-37.7%
Vermont$10$5593765-45.5%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber