Oklahoma · 72020

X-Ray Of Spine, 1 View in Oklahoma

Oklahoma Medicare Avg
$7.14
27% below national avg
National Medicare Avg
$9.75
All states combined
Billed Charge (OK)
$37.75
What providers submit
Est. Commercial (OK)
$20.25
National avg: $28.76
Est. Cash / Self-Pay (OK)
$17.45
Typical self-pay discount

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

887
Services in OK
132
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Oklahoma

Provider Medicare Services
Beam, Chester MD $5.75 86
Carstens, George M.D. $5.63 73
Carstens, George M.D. $5.30 63

Oklahoma Pricing in Context

In Oklahoma, CPT code 72020 (X-Ray Of Spine, 1 View) carries an average Medicare payment of $7.14 — 27% below the national benchmark of $9.75. 132 providers across the state submitted claims for this procedure in 2023, performing 887 total services. Individual payments in OK 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 Oklahoma is $37.75, 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 Oklahoma 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 Oklahoma lands near $20.25, with self-pay cash prices typically around $17.45. 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 Spine, 1 View cost in Oklahoma?

The average Medicare payment for X-Ray Of Spine, 1 View in Oklahoma is $7.14, which is 27% below the national average of $9.75. Providers in OK typically bill $37.75 for this procedure.

What does X-Ray Of Spine, 1 View cost with insurance in Oklahoma?

With commercial insurance in Oklahoma, X-Ray Of Spine, 1 View costs an estimated $20.25. Without insurance, the estimated cash price is $17.45. 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 Spine, 1 View in Oklahoma?

132 providers in Oklahoma billed Medicare for X-Ray Of Spine, 1 View in 2023, performing 887 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Spine, 1 View cheaper in Oklahoma than the national average?

Yes — X-Ray Of Spine, 1 View costs 27% below the national average in Oklahoma. The state average Medicare payment is $7.14 compared to $9.75 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