X-ray of surgical specimen
Medicare pricing data for 8,760 providers across 52 states
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 surgical specimen (HCPCS code 76098) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.35, but hospitals typically charge $58.25 — a 3.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.35, 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.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $12.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $20 | $122 | 22 | 198 | +21.4% |
| New Mexico | $19 | $61 | 57 | 302 | +17.7% |
| Colorado | $19 | $58 | 129 | 911 | +16.6% |
| New Jersey | $19 | $67 | 224 | 2,071 | +16.0% |
| North Carolina | $19 | $66 | 350 | 2,400 | +15.0% |
| Montana | $19 | $43 | 32 | 190 | +14.3% |
| California | $18 | $91 | 835 | 7,916 | +12.2% |
| Washington | $18 | $58 | 204 | 1,661 | +12.0% |
| Maryland | $18 | $47 | 146 | 1,333 | +9.9% |
| New York | $18 | $62 | 478 | 4,895 | +9.5% |
| Minnesota | $18 | $59 | 237 | 1,118 | +8.1% |
| District of Columbia | $17 | $50 | 34 | 309 | +2.6% |
| Massachusetts | $17 | $56 | 329 | 3,677 | +1.2% |
| North Dakota | $16 | $44 | 36 | 265 | +0.9% |
| Virginia | $16 | $50 | 190 | 2,083 | -0.2% |
| Connecticut | $16 | $50 | 141 | 852 | -0.2% |
| Florida | $16 | $57 | 553 | 5,135 | -0.9% |
| Oregon | $16 | $35 | 111 | 929 | -2.3% |
| Illinois | $16 | $60 | 438 | 3,396 | -2.5% |
| Rhode Island | $16 | $52 | 32 | 364 | -3.1% |
| Pennsylvania | $15 | $50 | 398 | 3,264 | -5.3% |
| Delaware | $15 | $45 | 22 | 242 | -6.0% |
| Kansas | $15 | $40 | 72 | 415 | -6.3% |
| Arizona | $15 | $50 | 122 | 1,439 | -6.5% |
| Iowa | $15 | $48 | 105 | 806 | -7.0% |
| Michigan | $15 | $40 | 285 | 1,668 | -7.3% |
| New Hampshire | $15 | $60 | 53 | 323 | -7.4% |
| Texas | $15 | $50 | 488 | 3,920 | -7.6% |
| Hawaii | $15 | $43 | 37 | 218 | -7.8% |
| South Carolina | $15 | $75 | 140 | 1,727 | -7.8% |
| Missouri | $15 | $49 | 198 | 1,692 | -8.4% |
| Georgia | $15 | $55 | 262 | 1,835 | -8.5% |
| Nebraska | $15 | $65 | 94 | 710 | -8.8% |
| Maine | $15 | $29 | 73 | 569 | -9.1% |
| Ohio | $15 | $53 | 391 | 3,048 | -9.1% |
| Louisiana | $15 | $39 | 141 | 859 | -9.1% |
| Wyoming | $15 | $36 | 18 | 61 | -9.1% |
| Tennessee | $15 | $61 | 180 | 1,385 | -9.2% |
| Vermont | $15 | $64 | 20 | 104 | -9.3% |
| Wisconsin | $15 | $77 | 247 | 1,144 | -9.5% |
| South Dakota | $15 | $30 | 28 | 273 | -10.0% |
| Alabama | $15 | $37 | 91 | 549 | -10.0% |
| Utah | $15 | $30 | 53 | 361 | -10.3% |
| West Virginia | $15 | $48 | 47 | 252 | -10.3% |
| Oklahoma | $15 | $37 | 57 | 653 | -11.3% |
| Kentucky | $14 | $39 | 98 | 910 | -11.4% |
| Indiana | $14 | $42 | 179 | 1,565 | -11.7% |
| Mississippi | $14 | $47 | 67 | 500 | -12.3% |
| Arkansas | $14 | $51 | 60 | 536 | -12.3% |
| Idaho | $14 | $36 | 39 | 327 | -12.4% |
| Puerto Rico | $14 | $22 | 9 | 27 | -13.1% |
| Nevada | $14 | $49 | 76 | 510 | -14.4% |
⚠️ 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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