Q0092

Set-up portable x-ray equipment

Medicare pricing data for 376 providers across 45 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 1.3 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

Set-up portable x-ray equipment (HCPCS code Q0092) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.70, but hospitals typically charge $49.79 — a 2.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.70, your out-of-pocket cost would be approximately $4.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.70
Average Hospital Charge
$49.79
Markup Ratio
2.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$49.79
Medicare Allowed$24.70
Medicare Payment$18.96

Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $18.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$29$546094,487+17.2%
New York$29$5123131,706+15.7%
New Jersey$28$61823,360+14.7%
Massachusetts$28$5428,502+11.4%
Connecticut$27$5432,063+10.1%
Hawaii$27$5911,087+8.1%
Washington$26$6479,904+6.2%
Rhode Island$26$5223,778+4.2%
Colorado$26$54910,217+3.9%
Illinois$26$521742,786+3.8%
Oregon$25$4031,945+2.2%
Ohio$25$471271,897+1.1%
Minnesota$25$4417,989+0.9%
Montana$25$7021,745-0.1%
Nevada$25$58812,841-0.2%
Delaware$25$431332-0.3%
North Dakota$25$441451-0.7%
South Dakota$25$441324-0.8%
Georgia$24$7533,692-1.7%
Florida$24$412187,027-2.1%
Virginia$24$38443,180-2.8%
Maryland$24$6012306,903-3.1%
Texas$24$4258105,105-3.6%
Arizona$24$551216,252-4.0%
Michigan$24$57416,600-4.5%
Wisconsin$23$3144,133-5.9%
Pennsylvania$23$401544,748-6.5%
North Carolina$23$38425,184-7.4%
Utah$23$4444,575-7.4%
Missouri$22$31434,951-9.0%
Nebraska$22$40123-9.4%
Indiana$22$3252,148-9.7%
Iowa$22$3037,094-9.7%
Maine$22$81155-9.9%
Kansas$22$30213,287-10.1%
Tennessee$22$76841,059-10.3%
Idaho$22$5042,399-11.3%
Louisiana$22$412027,447-11.8%
New Mexico$22$282447-12.2%
Alabama$22$4249,911-12.5%
Oklahoma$22$31822,062-12.6%
Kentucky$22$311416-12.7%
West Virginia$21$302919-13.5%
Arkansas$21$26222,110-15.2%
Mississippi$21$47510,014-15.5%

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

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