74019

X-ray of abdomen, 2 views

Medicare pricing data for 38,274 providers across 52 states

🤖AI Overview

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 abdomen, 2 views (HCPCS code 74019) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.85, but hospitals typically charge $65.95 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.17

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $15.85, your out-of-pocket cost would be approximately $3.17. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$15.85
Average Hospital Charge
$65.95
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$65.95
Medicare Allowed$15.85
Medicare Payment$11.69

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $11.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$21$11699321+32.6%
Delaware$20$6884464+25.9%
Puerto Rico$19$3371210+22.6%
Rhode Island$19$631631,610+19.1%
New York$18$681,97118,631+13.9%
Maryland$18$4972013,709+12.1%
California$18$722,70514,792+10.9%
Florida$18$831,96512,173+10.5%
New Jersey$17$658286,254+10.2%
Arizona$17$995783,537+8.6%
Iowa$17$696739,529+8.4%
Georgia$17$771,0747,488+8.2%
Nevada$17$993031,619+7.0%
Alabama$17$607945,137+6.7%
Texas$17$872,70516,214+5.7%
Tennessee$16$629536,014+2.6%
North Carolina$16$691,88410,601+0.7%
Mississippi$16$595144,349+0.5%
South Carolina$16$687034,669+0.3%
Washington$16$559735,676-0.5%
Massachusetts$16$5494210,864-0.7%
Virginia$16$631,0096,441-1.6%
District of Columbia$15$56103685-2.4%
Arkansas$15$465505,181-2.6%
Louisiana$15$637237,302-2.9%
Utah$15$482761,054-3.4%
Connecticut$15$574893,139-3.6%
Colorado$15$686464,365-4.2%
Minnesota$15$631,56710,814-4.4%
Wisconsin$15$1231,1007,001-6.0%
Idaho$15$892261,317-7.0%
Wyoming$15$4783695-7.2%
North Dakota$15$591531,823-7.5%
Nebraska$15$504764,718-8.5%
Kansas$14$544734,072-8.7%
New Mexico$14$621911,069-8.7%
Hawaii$14$471341,031-9.1%
Illinois$14$621,2799,834-9.1%
Indiana$14$735933,549-10.2%
Missouri$14$558626,279-10.7%
Ohio$14$601,14310,097-10.8%
Oklahoma$14$716624,776-11.0%
South Dakota$14$402793,300-11.7%
Oregon$14$494522,027-12.2%
New Hampshire$14$1062562,781-12.7%
Michigan$14$511,2639,863-12.9%
Kentucky$14$524782,719-14.2%
Montana$13$59146835-15.3%
Pennsylvania$13$491,3768,870-15.5%
Maine$12$52175782-22.5%
West Virginia$12$543093,167-24.5%
Vermont$12$6555350-24.6%

⚠️ 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