72220

X-ray of sacrum and tailbone, minimum of 2 views

Medicare pricing data for 34,888 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $10 in West Virginia to $22 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 sacrum and tailbone, minimum of 2 views (HCPCS code 72220) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.64, but hospitals typically charge $65.71 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.33

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.64, your out-of-pocket cost would be approximately $3.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.64
Average Hospital Charge
$65.71
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$65.71
Medicare Allowed$16.64
Medicare Payment$12.16

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $12.16 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Arizona$22$955361,955+34.8%
California$22$832,98610,348+32.5%
New Jersey$21$849482,766+28.8%
Puerto Rico$21$344156+28.7%
Nevada$21$82262977+24.3%
Florida$20$732,1357,616+22.1%
District of Columbia$20$6873177+21.9%
New York$20$631,6947,516+17.4%
Rhode Island$19$61141454+11.6%
Alaska$18$11191245+10.9%
Texas$18$792,3167,704+9.9%
Wyoming$18$8372146+6.6%
Maryland$18$467717,975+5.5%
Utah$17$46234486+4.8%
Delaware$17$58110431+4.5%
Connecticut$17$60427981+2.8%
Alabama$17$586551,451+0.9%
Virginia$17$571,0463,396+0.1%
Colorado$16$655561,531-1.1%
Georgia$16$741,1272,517-5.3%
Mississippi$16$604081,089-6.9%
Tennessee$15$539882,964-6.9%
North Carolina$15$611,5573,833-8.4%
Hawaii$15$51137577-8.4%
Illinois$15$951,4275,957-10.3%
Kansas$15$514551,292-11.9%
Massachusetts$15$528122,834-12.0%
South Carolina$15$777612,027-12.0%
Louisiana$15$535591,879-12.5%
Washington$14$628303,009-13.0%
New Mexico$14$63162471-14.8%
Iowa$14$554211,188-16.2%
Wisconsin$14$1257101,821-16.4%
Oklahoma$14$525361,667-16.5%
Minnesota$14$619942,673-17.7%
Pennsylvania$14$511,3904,137-17.8%
Indiana$14$607211,918-18.0%
Oregon$14$484531,189-18.6%
Arkansas$14$395101,539-18.6%
South Dakota$13$46133287-19.4%
Kentucky$13$484811,309-19.8%
Nebraska$13$49305728-19.8%
Idaho$13$63176548-20.0%
Michigan$13$629102,887-20.4%
New Hampshire$13$75198558-20.7%
Montana$13$46135339-22.1%
North Dakota$12$5792272-25.2%
Missouri$12$478532,907-25.4%
Ohio$12$481,0844,307-26.7%
Maine$11$45168410-33.2%
Vermont$10$5355190-38.3%
West Virginia$10$43223696-38.6%

⚠️ 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