Indiana · 72072

X-Ray Of Middle Spine, 3 Views in Indiana

Indiana Medicare Avg
$10.26
24% below national avg
National Medicare Avg
$13.47
All states combined
Billed Charge (IN)
$65.54
What providers submit
Est. Commercial (IN)
$30.13
National avg: $42.16
Est. Cash / Self-Pay (IN)
$28.78
Typical self-pay discount

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

3.8K
Services in IN
741
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Indiana

Provider Medicare Services
Sullivan, David M.D. $7.47 96
Gustaitis, John M.D. $6.96 72
Gustaitis, John M.D. $7.16 56
Gonzales, Reynaldo M.D. $7.95 56
Morozov, Pavel M.D. $7.47 54

Indiana Pricing in Context

In Indiana, CPT code 72072 (X-Ray Of Middle Spine, 3 Views) carries an average Medicare payment of $10.26 — 24% below the national benchmark of $13.47. 741 providers across the state submitted claims for this procedure in 2023, performing 3.8K total services. Individual payments in IN 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 Indiana is $65.54, 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 Indiana 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 Indiana lands near $30.13, with self-pay cash prices typically around $28.78. 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, 3 Views cost in Indiana?

The average Medicare payment for X-Ray Of Middle Spine, 3 Views in Indiana is $10.26, which is 24% below the national average of $13.47. Providers in IN typically bill $65.54 for this procedure.

What does X-Ray Of Middle Spine, 3 Views cost with insurance in Indiana?

With commercial insurance in Indiana, X-Ray Of Middle Spine, 3 Views costs an estimated $30.13. Without insurance, the estimated cash price is $28.78. 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, 3 Views in Indiana?

741 providers in Indiana billed Medicare for X-Ray Of Middle Spine, 3 Views in 2023, performing 3.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Middle Spine, 3 Views cheaper in Indiana than the national average?

Yes — X-Ray Of Middle Spine, 3 Views costs 24% below the national average in Indiana. The state average Medicare payment is $10.26 compared to $13.47 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