Alabama · 72070

X-Ray Of Middle Spine, 2 Views in Alabama

Alabama Medicare Avg
$16.64
12% above national avg
National Medicare Avg
$14.87
All states combined
Billed Charge (AL)
$76.67
What providers submit
Est. Commercial (AL)
$48.91
National avg: $45.26
Est. Cash / Self-Pay (AL)
$37.76
Typical self-pay discount

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

5.0K
Services in AL
1.1K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Alabama

Provider Medicare Services
Bivona, Katherine MD $14.48 87

Alabama Pricing in Context

In Alabama, CPT code 72070 (X-Ray Of Middle Spine, 2 Views) carries an average Medicare payment of $16.64 — 12% above the national benchmark of $14.87. 1.1K providers across the state submitted claims for this procedure in 2023, performing 5.0K total services. Individual payments in AL 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 Alabama is $76.67, 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 Alabama sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for X-Ray procedures, the estimated commercial insurance price in Alabama lands near $48.91, with self-pay cash prices typically around $37.76. 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 Middle Spine, 2 Views cost in Alabama?

The average Medicare payment for X-Ray Of Middle Spine, 2 Views in Alabama is $16.64, which is 12% above the national average of $14.87. Providers in AL typically bill $76.67 for this procedure.

What does X-Ray Of Middle Spine, 2 Views cost with insurance in Alabama?

With commercial insurance in Alabama, X-Ray Of Middle Spine, 2 Views costs an estimated $48.91. Without insurance, the estimated cash price is $37.76. 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 Middle Spine, 2 Views in Alabama?

1.1K providers in Alabama billed Medicare for X-Ray Of Middle Spine, 2 Views in 2023, performing 5.0K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Middle Spine, 2 Views cheaper in Alabama than the national average?

No — X-Ray Of Middle Spine, 2 Views costs 12% above the national average in Alabama. The state average Medicare payment is $16.64 compared to $14.87 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