73060

X-ray of upper arm, minimum of 2 views

Medicare pricing data for 52,277 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $9 in Vermont to $19 in Alaska. 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 upper arm, minimum of 2 views (HCPCS code 73060) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.55, but hospitals typically charge $60.65 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.91

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.55, your out-of-pocket cost would be approximately $2.91. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$14.55
Average Hospital Charge
$60.65
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$60.65
Medicare Allowed$14.55
Medicare Payment$10.77

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $10.77 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$19$124151587+28.2%
Wyoming$18$76145586+22.0%
New Jersey$17$741,5359,035+15.7%
California$17$684,44827,199+15.5%
Florida$17$683,06519,727+14.6%
Arizona$16$759315,069+12.4%
Maryland$16$461,15914,838+10.1%
Texas$16$713,73524,825+9.1%
New York$16$602,64921,423+8.7%
Nevada$16$1014042,171+8.7%
Utah$16$464301,559+6.9%
South Carolina$15$721,1045,353+4.1%
Massachusetts$15$581,18810,654+3.5%
Georgia$15$711,6417,801+3.4%
Virginia$15$591,4778,918+3.1%
Puerto Rico$15$25100241+3.1%
Alabama$15$569484,664+2.8%
Tennessee$15$551,4938,460+1.9%
Delaware$15$611531,036+1.3%
Mississippi$14$585883,569-2.0%
Kentucky$14$527994,131-2.7%
Oklahoma$14$547774,514-3.4%
Rhode Island$14$482251,679-3.7%
North Carolina$14$562,19810,195-4.2%
Oregon$14$506022,626-4.6%
Connecticut$14$616603,440-4.6%
Kansas$14$485803,229-6.1%
Illinois$14$751,98414,491-6.3%
Louisiana$14$527564,747-6.4%
District of Columbia$14$55124649-6.7%
Arkansas$13$436543,745-7.3%
Iowa$13$535673,108-8.7%
Indiana$13$601,1846,078-9.3%
Colorado$13$568834,540-9.6%
Montana$13$442281,045-9.9%
Washington$13$561,1326,687-10.1%
Pennsylvania$13$532,23113,201-11.1%
Nebraska$13$494732,373-13.4%
South Dakota$13$45215963-13.6%
Idaho$12$583211,427-15.5%
Michigan$12$481,5199,083-15.7%
Ohio$12$491,68911,089-15.8%
New Mexico$12$542721,394-16.5%
New Hampshire$12$782681,585-18.3%
Wisconsin$12$991,0074,905-18.4%
Missouri$12$471,1848,295-19.6%
North Dakota$11$56143795-21.8%
West Virginia$11$473352,167-23.6%
Hawaii$11$391861,109-23.9%
Minnesota$11$521,3788,177-24.9%
Maine$10$402381,035-31.0%
Vermont$9$4979540-40.8%

⚠️ 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