72200

X-ray of joint between lower spine and hip bone, 1-2 views

Medicare pricing data for 5,606 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $8 in Vermont to $32 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 joint between lower spine and hip bone, 1-2 views (HCPCS code 72200) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.01, but hospitals typically charge $80.37 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.80

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $19.01, your out-of-pocket cost would be approximately $3.80. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$19.01
Average Hospital Charge
$80.37
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$80.37
Medicare Allowed$19.01
Medicare Payment$14.20

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $14.20 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$32$331317+68.8%
Arizona$27$15598298+42.7%
Utah$27$7436116+42.6%
Florida$27$773601,892+42.4%
Texas$23$994291,195+22.9%
New Jersey$23$75154302+22.1%
Nevada$23$1303553+21.3%
California$23$1295382,074+21.1%
Maryland$23$6574176+20.9%
New York$23$93317878+20.3%
Kansas$22$5877221+16.4%
North Carolina$20$94130281+4.3%
Delaware$19$57816+0.5%
Virginia$19$102128232-0.7%
Hawaii$19$561113-1.3%
South Dakota$18$371518-6.2%
New Mexico$17$571930-8.9%
South Carolina$17$6590174-9.2%
Arkansas$17$3975238-9.5%
Alabama$17$5579189-11.3%
Michigan$16$57180573-15.8%
Colorado$16$63150215-16.0%
Illinois$16$96163486-16.3%
Tennessee$16$62148396-17.3%
Missouri$16$55151760-17.6%
Wisconsin$15$124121214-18.6%
Kentucky$15$5985166-18.8%
Georgia$15$73195447-19.8%
Washington$15$59146341-22.9%
Minnesota$15$73145284-23.0%
Indiana$14$4992150-26.0%
Connecticut$14$5557117-26.4%
Oregon$14$4478141-26.6%
Louisiana$14$54104197-28.0%
Oklahoma$13$6179171-32.0%
Massachusetts$12$50142306-34.7%
Idaho$12$893138-37.3%
Mississippi$12$5184158-37.5%
North Dakota$12$871534-37.7%
Nebraska$12$4551107-38.6%
Iowa$11$4475109-40.5%
Pennsylvania$11$60217643-41.6%
Alaska$11$53770-42.4%
West Virginia$10$354076-46.9%
Montana$10$293490-47.8%
Ohio$10$54232705-49.7%
Wyoming$8$19718-58.2%
Maine$8$311520-58.3%
New Hampshire$8$361217-58.6%
Vermont$8$27417-58.7%

⚠️ 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