74018

X-ray of abdomen, 1 view

Medicare pricing data for 58,535 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 2.0 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 abdomen, 1 view (HCPCS code 74018) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.67, but hospitals typically charge $53.68 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.33

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.67, your out-of-pocket cost would be approximately $2.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$11.67
Average Hospital Charge
$53.68
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$53.68
Medicare Allowed$11.67
Medicare Payment$8.78

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $8.78 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$16$28169926+38.9%
New Jersey$14$581,28435,084+22.2%
Alaska$14$901413,248+21.5%
Delaware$14$461564,945+17.1%
Maryland$14$391,01182,425+16.4%
Virginia$14$501,81962,330+15.8%
New York$13$502,473106,826+14.5%
Arizona$13$7788835,013+14.3%
Florida$13$603,245124,992+9.1%
South Carolina$13$621,19536,744+9.1%
California$13$614,766167,646+8.4%
Wyoming$12$561281,390+5.8%
Utah$12$345098,069+5.2%
Alabama$12$431,11733,532+4.0%
Kansas$12$4380219,075+3.3%
Tennessee$12$531,72957,954+2.7%
Rhode Island$12$491875,212+2.5%
Mississippi$12$5577025,636+1.8%
Louisiana$12$4988031,860+1.5%
North Carolina$12$512,75682,857+0.8%
Texas$12$754,051149,330-0.7%
Nevada$12$8042614,339-1.5%
Iowa$11$4766516,127-2.4%
Colorado$11$571,03426,729-3.2%
District of Columbia$11$451414,549-3.9%
South Dakota$11$342835,937-4.1%
Montana$11$382374,160-4.6%
Connecticut$11$4863618,328-4.6%
Indiana$11$511,26543,147-5.7%
Nebraska$11$3972216,517-5.7%
Illinois$11$612,15986,745-6.8%
Oregon$11$4070013,926-6.8%
Missouri$11$451,51556,337-7.4%
Washington$11$361,43842,829-7.5%
Georgia$11$561,91757,560-7.6%
Wisconsin$11$941,58636,335-7.8%
Oklahoma$11$4490531,297-7.9%
Arkansas$11$3494229,916-8.6%
New Hampshire$11$783128,676-8.9%
Hawaii$11$372107,149-9.8%
New Mexico$10$443057,486-11.5%
Massachusetts$10$401,11841,127-12.4%
Ohio$10$502,02285,002-12.9%
Pennsylvania$10$422,23872,942-12.9%
Idaho$10$543467,245-13.0%
Kentucky$10$4096429,929-14.8%
Michigan$10$421,69555,094-15.0%
Minnesota$10$491,75945,773-15.5%
North Dakota$10$451573,119-16.2%
Vermont$9$52902,383-19.5%
Maine$9$372515,193-23.1%
West Virginia$9$4836813,438-23.4%

⚠️ 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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