Arkansas · 72050

X-Ray Of Upper Spine, 4-5 Views in Arkansas

Arkansas Medicare Avg
$19.08
22% below national avg
National Medicare Avg
$24.42
All states combined
Billed Charge (AR)
$96.79
What providers submit
Est. Commercial (AR)
$55.26
National avg: $75.32
Est. Cash / Self-Pay (AR)
$46.35
Typical self-pay discount

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

3.3K
Services in AR
435
Providers
N/A
Min Payment
N/A
Max Payment

Arkansas Pricing in Context

In Arkansas, CPT code 72050 (X-Ray Of Upper Spine, 4-5 Views) carries an average Medicare payment of $19.08 — 22% below the national benchmark of $24.42. 435 providers across the state submitted claims for this procedure in 2023, performing 3.3K total services. Individual payments in AR 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 Arkansas is $96.79, 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 Arkansas 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 Arkansas lands near $55.26, with self-pay cash prices typically around $46.35. 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 Upper Spine, 4-5 Views cost in Arkansas?

The average Medicare payment for X-Ray Of Upper Spine, 4-5 Views in Arkansas is $19.08, which is 22% below the national average of $24.42. Providers in AR typically bill $96.79 for this procedure.

What does X-Ray Of Upper Spine, 4-5 Views cost with insurance in Arkansas?

With commercial insurance in Arkansas, X-Ray Of Upper Spine, 4-5 Views costs an estimated $55.26. Without insurance, the estimated cash price is $46.35. 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 Upper Spine, 4-5 Views in Arkansas?

435 providers in Arkansas billed Medicare for X-Ray Of Upper Spine, 4-5 Views in 2023, performing 3.3K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Upper Spine, 4-5 Views cheaper in Arkansas than the national average?

Yes — X-Ray Of Upper Spine, 4-5 Views costs 22% below the national average in Arkansas. The state average Medicare payment is $19.08 compared to $24.42 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