70220

X-ray of paranasal sinus, minimum of 3 views

Medicare pricing data for 11,777 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $10 in Montana to $37 in Alaska. 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 paranasal sinus, minimum of 3 views (HCPCS code 70220) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.05, but hospitals typically charge $87.79 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.81

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.05, your out-of-pocket cost would be approximately $4.81. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.05
Average Hospital Charge
$87.79
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$87.79
Medicare Allowed$24.05
Medicare Payment$16.93

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $16.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$37$1671944+54.4%
District of Columbia$33$1081626+38.0%
New Jersey$33$117321813+38.0%
Arizona$33$901901,129+35.3%
Puerto Rico$31$3488206+27.7%
Nevada$31$100103293+27.4%
California$31$1091,1063,299+27.2%
New York$30$1044791,787+24.1%
Florida$30$1157082,179+22.7%
Rhode Island$29$10553151+20.0%
Utah$28$692570+17.0%
Alabama$28$615383,767+15.2%
Maryland$26$75178562+9.6%
Delaware$26$9150184+8.3%
Connecticut$25$87125251+2.2%
Texas$25$1109713,364+2.0%
Hawaii$24$9053124+1.2%
Nebraska$24$90126363+0.0%
Virginia$23$863321,076-4.7%
Colorado$22$96136293-7.7%
Missouri$22$673081,147-7.9%
Louisiana$22$682671,426-10.1%
Tennessee$22$814192,797-10.5%
South Carolina$21$88188515-10.7%
Iowa$21$8883143-12.8%
Michigan$21$61334799-13.1%
Georgia$21$100296912-13.7%
Washington$21$80242431-14.1%
Kentucky$20$72139317-15.2%
Kansas$20$70155489-15.2%
Mississippi$20$80171590-16.0%
Oregon$20$8177137-16.1%
Wyoming$20$502766-16.4%
Illinois$20$128384847-16.8%
North Carolina$20$904451,387-18.6%
Arkansas$19$58208740-20.7%
Massachusetts$19$71328837-22.7%
Pennsylvania$18$714471,168-23.2%
New Hampshire$18$8869111-23.7%
Wisconsin$18$165228434-23.7%
New Mexico$18$9459145-25.3%
North Dakota$18$772353-26.5%
Minnesota$17$79226476-30.1%
Ohio$17$72340762-30.5%
Idaho$16$1063558-32.6%
Oklahoma$16$57224658-34.3%
Indiana$15$78214554-35.6%
Maine$14$603143-42.7%
South Dakota$14$562535-42.8%
West Virginia$12$54122366-49.2%
Montana$10$481320-56.5%

⚠️ 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