71111

X-ray of ribs on both sides of body, minimum of 4 views

Medicare pricing data for 14,941 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $18 in West Virginia to $39 in Puerto Rico. 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 ribs on both sides of body, minimum of 4 views (HCPCS code 71111) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.90, but hospitals typically charge $106.43 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $26.90, your out-of-pocket cost would be approximately $5.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$26.90
Average Hospital Charge
$106.43
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$106.43
Medicare Allowed$26.90
Medicare Payment$19.44

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $19.44 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$39$4862142+44.1%
Arizona$37$146239582+37.2%
New York$35$1027752,063+30.3%
California$34$1291,3092,656+27.9%
Maryland$34$943841,120+27.7%
New Jersey$33$133446949+21.7%
Florida$31$1241,0232,074+14.1%
Alabama$30$107257583+9.8%
Nevada$29$180165293+7.0%
Virginia$29$97478926+6.2%
Alaska$28$1702646+5.8%
District of Columbia$28$1045388+5.4%
Rhode Island$28$8863164+4.9%
Texas$28$1249251,629+3.7%
Wyoming$28$1723759+2.5%
Connecticut$26$98143233-1.6%
New Mexico$26$10581125-1.9%
Washington$26$128317549-2.8%
Colorado$26$111261435-2.8%
Louisiana$26$96146310-4.5%
Delaware$25$8856140-7.1%
North Carolina$25$107603981-7.1%
Oregon$25$94159243-8.8%
Tennessee$24$95346761-9.6%
Hawaii$24$8459102-11.2%
Utah$23$6975102-12.9%
Massachusetts$23$82385747-13.3%
Idaho$23$13459102-14.2%
Mississippi$23$88185410-14.2%
South Carolina$23$115233418-14.4%
Wisconsin$23$184275420-14.7%
New Hampshire$23$12994181-14.7%
Kentucky$23$81227446-14.8%
Pennsylvania$23$927441,488-15.5%
Oklahoma$23$72181359-15.7%
Georgia$23$103430787-15.8%
Vermont$23$1042643-16.3%
Kansas$22$76174294-17.6%
Minnesota$22$96362615-17.7%
Iowa$22$84134189-19.0%
Nebraska$22$78124195-19.7%
Illinois$22$1286561,485-19.7%
Ohio$21$824911,214-21.9%
Indiana$21$83328546-22.9%
North Dakota$21$874057-23.2%
Montana$21$705587-23.3%
Arkansas$20$62138302-24.0%
Maine$20$8176104-25.1%
Missouri$20$77340681-25.7%
Michigan$20$764961,033-26.5%
South Dakota$19$576185-28.5%
West Virginia$18$84130277-33.5%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber