72072

X-ray of middle spine, 3 views

Medicare pricing data for 30,829 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $12 in Vermont to $27 in Arizona. 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 middle spine, 3 views (HCPCS code 72072) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $18.82, but hospitals typically charge $81.56 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $18.82, your out-of-pocket cost would be approximately $3.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$18.82
Average Hospital Charge
$81.56
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$81.56
Medicare Allowed$18.82
Medicare Payment$13.47

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $13.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Arizona$27$1155704,794+45.4%
District of Columbia$27$8840136+43.1%
Florida$26$1111,97211,752+40.1%
California$26$952,46912,218+37.9%
Louisiana$25$773322,602+33.0%
Maryland$25$734261,881+31.3%
Nevada$25$1113081,523+30.2%
New Jersey$23$995351,805+23.5%
New York$23$759364,261+22.3%
Puerto Rico$23$81826+19.8%
Alaska$22$13087350+19.1%
Hawaii$22$77114378+16.0%
Wyoming$20$11073275+8.0%
Texas$20$1021,9518,134+5.6%
Washington$18$877903,447-2.2%
Tennessee$18$759804,702-3.6%
Connecticut$18$72195629-4.7%
Rhode Island$18$6195371-5.0%
Utah$18$503491,018-5.0%
Alabama$18$725722,821-5.9%
North Carolina$18$799293,409-6.1%
Virginia$18$818463,858-6.1%
Kansas$18$605792,431-6.6%
Oregon$17$624922,379-8.3%
Illinois$17$981,5259,752-10.7%
New Mexico$17$79169760-11.2%
Georgia$17$841,0154,304-11.6%
Wisconsin$17$1368623,391-12.2%
Colorado$17$695322,428-12.3%
Iowa$16$685052,506-13.0%
Massachusetts$16$606372,611-15.2%
Minnesota$16$709423,792-16.3%
Arkansas$16$482821,120-16.4%
Kentucky$16$535642,845-16.8%
Delaware$16$4875479-17.5%
New Hampshire$15$103163681-18.2%
Mississippi$15$58264946-18.5%
Maine$15$66123294-18.8%
South Carolina$15$766092,502-19.6%
Idaho$15$80217939-20.3%
Oklahoma$15$675062,518-20.4%
Missouri$15$621,0235,559-22.3%
Nebraska$15$512951,362-22.3%
Indiana$14$667413,811-23.8%
Michigan$14$529345,255-24.2%
Montana$14$49134479-24.2%
Pennsylvania$14$621,2106,071-25.5%
Ohio$14$681,2536,695-27.2%
North Dakota$14$72103416-27.2%
South Dakota$14$41174736-27.5%
West Virginia$12$532641,741-33.6%
Vermont$12$7134157-35.5%

⚠️ 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