72110

X-ray of lower and sacral spine, minimum of 4 views

Medicare pricing data for 50,371 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $15 in Vermont to $46 in New Jersey. 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 lower and sacral spine, minimum of 4 views (HCPCS code 72110) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.75, but hospitals typically charge $141.67 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $33.75, your out-of-pocket cost would be approximately $6.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$33.75
Average Hospital Charge
$141.67
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$141.67
Medicare Allowed$33.75
Medicare Payment$24.61

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $24.61 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$46$1991,61432,141+36.6%
Alaska$45$2821652,191+32.7%
Rhode Island$42$1791982,768+25.2%
Nevada$42$2364667,510+23.8%
Maryland$41$1301,07123,097+22.3%
California$41$1483,97467,227+22.1%
Florida$41$1713,12760,908+21.6%
Arizona$41$17084418,473+21.4%
Delaware$40$1551404,284+19.4%
Puerto Rico$40$5594317+17.5%
Connecticut$38$1376707,767+11.9%
Colorado$37$1401,00416,227+10.9%
Hawaii$37$1221592,511+8.7%
Texas$36$1443,07345,894+7.8%
New York$36$1512,15936,615+6.5%
South Dakota$35$1492213,540+4.2%
Alabama$35$12492415,184+2.4%
District of Columbia$34$1211281,948+2.0%
Georgia$34$1701,67523,614+1.1%
Louisiana$34$15080713,103+1.1%
Wyoming$34$1821621,971+0.1%
Tennessee$34$1271,19718,053+0.0%
South Carolina$33$1281,03718,854-0.8%
New Hampshire$33$1692572,550-1.6%
Washington$33$1371,08715,972-2.3%
Virginia$32$1461,81229,730-3.8%
Nebraska$31$1264837,583-7.6%
Mississippi$31$1594498,043-7.8%
Kansas$31$1067009,343-8.2%
North Carolina$31$1222,43129,320-9.4%
Indiana$31$1411,16415,162-9.6%
Massachusetts$30$13498213,886-10.1%
Iowa$29$1264546,976-14.3%
Minnesota$29$1261,06210,945-14.5%
Illinois$29$1592,11438,572-15.4%
Oklahoma$28$10771910,552-17.2%
Utah$28$853635,888-17.8%
Pennsylvania$27$1292,34141,005-19.1%
Kentucky$27$1157999,287-20.4%
New Mexico$27$1182713,161-20.9%
Oregon$27$905755,960-21.0%
Michigan$26$1091,60324,882-22.2%
Arkansas$26$984877,314-23.5%
Montana$26$972504,047-24.2%
Wisconsin$25$1839267,039-25.3%
Missouri$24$1071,24216,375-29.0%
Ohio$23$981,74027,968-32.0%
Idaho$22$1432873,893-34.1%
Maine$17$752311,836-50.2%
North Dakota$17$821211,269-50.3%
West Virginia$16$773826,189-53.0%
Vermont$15$77751,054-55.7%

⚠️ 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