Colorado · 70250

X-Ray Of Skull, 1-3 Views in Colorado

Colorado Medicare Avg
$10.25
7% below national avg
National Medicare Avg
$11.07
All states combined
Billed Charge (CO)
$72.13
What providers submit
Est. Commercial (CO)
$31.45
National avg: $32.79
Est. Cash / Self-Pay (CO)
$30.09
Typical self-pay discount

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

603
Services in CO
281
Providers
N/A
Min Payment
N/A
Max Payment

Colorado Pricing in Context

In Colorado, CPT code 70250 (X-Ray Of Skull, 1-3 Views) carries an average Medicare payment of $10.25 — 7% below the national benchmark of $11.07. 281 providers across the state submitted claims for this procedure in 2023, performing 603 total services. Individual payments in CO 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 Colorado is $72.13, 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 Colorado 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 Colorado lands near $31.45, with self-pay cash prices typically around $30.09. 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 Skull, 1-3 Views cost in Colorado?

The average Medicare payment for X-Ray Of Skull, 1-3 Views in Colorado is $10.25, which is 7% below the national average of $11.07. Providers in CO typically bill $72.13 for this procedure.

What does X-Ray Of Skull, 1-3 Views cost with insurance in Colorado?

With commercial insurance in Colorado, X-Ray Of Skull, 1-3 Views costs an estimated $31.45. Without insurance, the estimated cash price is $30.09. 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 Skull, 1-3 Views in Colorado?

281 providers in Colorado billed Medicare for X-Ray Of Skull, 1-3 Views in 2023, performing 603 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Skull, 1-3 Views cheaper in Colorado than the national average?

Yes — X-Ray Of Skull, 1-3 Views costs 7% below the national average in Colorado. The state average Medicare payment is $10.25 compared to $11.07 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