Kentucky · 71048

X-Ray Of Chest, Minimum Of 4 Views in Kentucky

Kentucky Medicare Avg
$12.45
41% below national avg
National Medicare Avg
$21.11
All states combined
Billed Charge (KY)
$70.90
What providers submit
Est. Commercial (KY)
$43.86
National avg: $64.58
Est. Cash / Self-Pay (KY)
$35.16
Typical self-pay discount

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

39
Services in KY
30
Providers
N/A
Min Payment
N/A
Max Payment

Kentucky Pricing in Context

In Kentucky, CPT code 71048 (X-Ray Of Chest, Minimum Of 4 Views) carries an average Medicare payment of $12.45 — 41% below the national benchmark of $21.11. 30 providers across the state submitted claims for this procedure in 2023, performing 39 total services. Individual payments in KY 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 Kentucky is $70.90, 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 Kentucky 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 Kentucky lands near $43.86, with self-pay cash prices typically around $35.16. 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 Chest, Minimum Of 4 Views cost in Kentucky?

The average Medicare payment for X-Ray Of Chest, Minimum Of 4 Views in Kentucky is $12.45, which is 41% below the national average of $21.11. Providers in KY typically bill $70.90 for this procedure.

What does X-Ray Of Chest, Minimum Of 4 Views cost with insurance in Kentucky?

With commercial insurance in Kentucky, X-Ray Of Chest, Minimum Of 4 Views costs an estimated $43.86. Without insurance, the estimated cash price is $35.16. 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 Chest, Minimum Of 4 Views in Kentucky?

30 providers in Kentucky billed Medicare for X-Ray Of Chest, Minimum Of 4 Views in 2023, performing 39 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Chest, Minimum Of 4 Views cheaper in Kentucky than the national average?

Yes — X-Ray Of Chest, Minimum Of 4 Views costs 41% below the national average in Kentucky. The state average Medicare payment is $12.45 compared to $21.11 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