Ohio · 70140

X-Ray Of Face Bones, 1-2 Views in Ohio

Ohio Medicare Avg
$15.70
7% below national avg
National Medicare Avg
$16.83
All states combined
Billed Charge (OH)
$51.22
What providers submit
Est. Commercial (OH)
$41.69
National avg: $50.44
Est. Cash / Self-Pay (OH)
$28.97
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

199
Services in OH
37
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Ohio

Provider Medicare Services
Preventive Diagnostics Inc $13.22 56
Btx Koi Inc $11.19 31

Ohio Pricing in Context

In Ohio, CPT code 70140 (X-Ray Of Face Bones, 1-2 Views) carries an average Medicare payment of $15.70 — 7% below the national benchmark of $16.83. 37 providers across the state submitted claims for this procedure in 2023, performing 199 total services. Individual payments in OH ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Ohio is $51.22, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Ohio sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for X-Ray procedures, the estimated commercial insurance price in Ohio lands near $41.69, with self-pay cash prices typically around $28.97. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does X-Ray Of Face Bones, 1-2 Views cost in Ohio?

The average Medicare payment for X-Ray Of Face Bones, 1-2 Views in Ohio is $15.70, which is 7% below the national average of $16.83. Providers in OH typically bill $51.22 for this procedure.

What does X-Ray Of Face Bones, 1-2 Views cost with insurance in Ohio?

With commercial insurance in Ohio, X-Ray Of Face Bones, 1-2 Views costs an estimated $41.69. Without insurance, the estimated cash price is $28.97. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform X-Ray Of Face Bones, 1-2 Views in Ohio?

37 providers in Ohio billed Medicare for X-Ray Of Face Bones, 1-2 Views in 2023, performing 199 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Face Bones, 1-2 Views cheaper in Ohio than the national average?

Yes — X-Ray Of Face Bones, 1-2 Views costs 7% below the national average in Ohio. The state average Medicare payment is $15.70 compared to $16.83 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial