72202

X-ray of joint between lower spine and hip bone, 3 or more views

Medicare pricing data for 14,785 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $11 in West Virginia to $36 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 joint between lower spine and hip bone, 3 or more views (HCPCS code 72202) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.51, but hospitals typically charge $87.63 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.50

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $22.51, your out-of-pocket cost would be approximately $4.50. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$22.51
Average Hospital Charge
$87.63
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$87.63
Medicare Allowed$22.51
Medicare Payment$16.53

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $16.53 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$36$1134031,283+59.2%
Puerto Rico$31$401013+38.5%
Florida$31$1098733,654+36.4%
Arizona$30$1202821,240+35.2%
Maryland$30$743051,073+33.9%
California$29$1031,2653,712+29.3%
District of Columbia$28$1013361+26.3%
Delaware$28$10871630+23.3%
New York$27$896782,523+18.6%
Alaska$26$13145106+14.8%
Nevada$25$129125275+8.8%
Rhode Island$24$7466194+6.8%
Hawaii$24$7945122+6.3%
Texas$24$1158562,543+5.6%
Washington$24$1095011,399+4.7%
Connecticut$23$72204400+2.4%
Nebraska$22$75136282-2.0%
Colorado$22$75276641-2.4%
North Carolina$22$855371,723-4.1%
Iowa$21$72172396-8.4%
Wyoming$20$904193-10.0%
Virginia$20$703731,111-10.4%
Illinois$20$1076691,990-11.2%
New Hampshire$20$99126371-11.2%
Georgia$20$96310873-11.5%
Tennessee$19$71299793-13.4%
Minnesota$19$914231,058-14.0%
Wisconsin$19$1543991,136-14.8%
Alabama$19$66189545-14.9%
Oregon$19$62297782-15.2%
New Mexico$19$7678255-15.3%
Louisiana$19$86196459-17.0%
Kansas$19$68166396-17.3%
Utah$18$53110231-18.0%
South Carolina$18$80232610-19.7%
Arkansas$18$61112234-19.9%
Kentucky$18$54184479-20.7%
Ohio$18$605231,545-20.7%
Massachusetts$18$614151,205-22.2%
Montana$17$625391-23.2%
Idaho$17$77107450-23.5%
Missouri$17$584591,465-25.0%
Pennsylvania$16$606991,988-28.3%
Indiana$16$65311801-28.7%
Oklahoma$16$69194490-29.1%
Vermont$15$6436120-33.2%
Mississippi$15$64101232-34.4%
Maine$15$4687156-35.3%
South Dakota$14$4365198-36.6%
Michigan$14$554441,423-37.1%
North Dakota$13$5066188-42.1%
West Virginia$11$45122583-50.4%

⚠️ 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