74021

X-ray of abdomen, minimum of 3 views

Medicare pricing data for 9,469 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $12 in South Dakota to $35 in Vermont. 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 abdomen, minimum of 3 views (HCPCS code 74021) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.31, but hospitals typically charge $80.70 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.06

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $20.31, your out-of-pocket cost would be approximately $4.06. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$20.31
Average Hospital Charge
$80.70
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$80.70
Medicare Allowed$20.31
Medicare Payment$15.03

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $15.03 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Vermont$35$93651+69.9%
Louisiana$31$1151671,381+53.9%
New Jersey$30$874292,405+48.0%
Wyoming$30$8532136+46.7%
Mississippi$29$721111,940+40.7%
District of Columbia$25$803155+23.8%
South Carolina$24$143228663+18.1%
Alabama$24$74202722+15.8%
New York$23$856262,980+13.9%
California$22$857592,268+7.1%
Montana$22$913052+6.3%
Kansas$21$6183293+5.8%
Tennessee$21$76195479+3.1%
Virginia$21$74261795+1.3%
Florida$20$916082,215+0.9%
Maryland$20$622511,529+0.2%
Rhode Island$20$722071-0.8%
Arizona$19$119132331-4.6%
Texas$19$1045631,483-7.0%
Nevada$19$93106283-7.5%
Georgia$19$89293821-8.1%
New Mexico$19$874585-8.9%
Oklahoma$18$68148435-10.2%
Washington$18$61145375-10.9%
Utah$18$803682-11.4%
Missouri$18$56127533-12.3%
Pennsylvania$18$664702,148-13.8%
Alaska$17$1041115-15.7%
Hawaii$17$653892-16.3%
Oregon$17$62102250-16.5%
Connecticut$17$66122319-16.8%
Massachusetts$17$70205503-17.2%
Nebraska$17$5485646-18.4%
North Carolina$17$933491,140-18.6%
Colorado$16$81156403-19.7%
Michigan$16$563061,010-20.5%
Wisconsin$16$145166391-21.5%
Delaware$16$6062337-23.1%
Idaho$15$11965184-27.5%
Ohio$15$833781,506-27.9%
West Virginia$15$7177263-28.6%
Arkansas$14$4671401-28.8%
Kentucky$14$53131389-30.6%
Illinois$14$775162,443-31.7%
Minnesota$14$60232573-32.1%
Iowa$14$5561206-32.3%
Indiana$13$60116416-33.9%
New Hampshire$13$5631144-35.5%
Maine$13$541742-37.6%
North Dakota$13$39624-37.7%
Puerto Rico$13$151016-38.3%
South Dakota$12$421320-39.3%

⚠️ 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