73565

X-ray of both knees while standing

Medicare pricing data for 13,481 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $11 in Vermont to $44 in Maryland. 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 both knees while standing (HCPCS code 73565) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $32.68, but hospitals typically charge $99.89 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.54

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $32.68, your out-of-pocket cost would be approximately $6.54. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$32.68
Average Hospital Charge
$99.89
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$99.89
Medicare Allowed$32.68
Medicare Payment$23.78

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $23.78 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$44$1012665,280+33.8%
New Jersey$41$1572602,348+24.9%
California$40$1041,46814,053+22.6%
Colorado$37$992091,240+11.8%
New Hampshire$35$12346152+8.4%
Florida$35$1188199,600+8.0%
Virginia$35$1093312,990+7.8%
New York$35$1114554,318+7.6%
Texas$33$1039788,369+1.5%
Connecticut$33$841291,163+1.1%
Alabama$32$1382242,157-1.5%
West Virginia$32$100931,341-1.6%
Georgia$32$1063091,650-1.9%
Tennessee$32$953232,826-2.0%
Arizona$32$1022751,279-2.8%
Kansas$31$812802,414-3.8%
Pennsylvania$31$865123,733-3.9%
Louisiana$31$1002352,190-4.0%
South Carolina$31$922551,160-4.7%
Alaska$30$16961265-8.0%
Nevada$30$150106308-8.2%
Massachusetts$30$853562,914-8.4%
Kentucky$30$88166804-9.3%
Washington$29$833971,368-10.6%
Michigan$29$854302,500-11.2%
Illinois$29$925033,522-12.1%
Puerto Rico$28$3037204-13.2%
Oregon$28$762341,020-13.6%
Utah$28$68102233-14.7%
Arkansas$27$981801,239-16.4%
Indiana$27$1062351,550-16.8%
North Carolina$27$773841,448-18.3%
South Dakota$26$6565406-19.4%
Ohio$26$684443,170-20.0%
Delaware$26$85523,177-21.1%
Oklahoma$26$732691,145-22.0%
New Mexico$24$10178619-25.1%
Wisconsin$24$154389993-26.7%
Minnesota$24$923241,118-27.2%
Missouri$23$1012981,319-28.9%
Nebraska$23$64157420-29.2%
Idaho$23$8579164-29.4%
Rhode Island$23$7456726-30.3%
Maine$21$5545281-35.8%
Mississippi$20$971521,492-37.7%
North Dakota$20$6586620-39.0%
Hawaii$19$573145-40.5%
Iowa$18$66132311-43.7%
Montana$17$5470304-48.0%
Wyoming$16$652440-50.2%
District of Columbia$16$4827114-51.4%
Vermont$11$502774-66.5%

⚠️ 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