Nevada · 72072

X-Ray Of Middle Spine, 3 Views in Nevada

Nevada Medicare Avg
$17.28
28% above national avg
National Medicare Avg
$13.47
All states combined
Billed Charge (NV)
$110.92
What providers submit
Est. Commercial (NV)
$58.83
National avg: $42.16
Est. Cash / Self-Pay (NV)
$48.89
Typical self-pay discount

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

1.5K
Services in NV
308
Providers
N/A
Min Payment
N/A
Max Payment

Nevada Pricing in Context

In Nevada, CPT code 72072 (X-Ray Of Middle Spine, 3 Views) carries an average Medicare payment of $17.28 — 28% above the national benchmark of $13.47. 308 providers across the state submitted claims for this procedure in 2023, performing 1.5K total services. Individual payments in NV 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 Nevada is $110.92, 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 Nevada 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 Nevada lands near $58.83, with self-pay cash prices typically around $48.89. 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 Nevada?

The average Medicare payment for X-Ray Of Middle Spine, 3 Views in Nevada is $17.28, which is 28% above the national average of $13.47. Providers in NV typically bill $110.92 for this procedure.

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

With commercial insurance in Nevada, X-Ray Of Middle Spine, 3 Views costs an estimated $58.83. Without insurance, the estimated cash price is $48.89. 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 Nevada?

308 providers in Nevada billed Medicare for X-Ray Of Middle Spine, 3 Views in 2023, performing 1.5K 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 Nevada than the national average?

No — X-Ray Of Middle Spine, 3 Views costs 28% above the national average in Nevada. The state average Medicare payment is $17.28 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