Arizona · 72084

X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views in Arizona

Arizona Medicare Avg
$22.10
42% below national avg
National Medicare Avg
$38.03
All states combined
Billed Charge (AZ)
$90.80
What providers submit
Est. Commercial (AZ)
$64.88
National avg: $112.95
Est. Cash / Self-Pay (AZ)
$46.31
Typical self-pay discount

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

459
Services in AZ
62
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Arizona

Provider Medicare Services
Rivera, Robert MD $16.06 25
Cavanaugh, Terrence MD $15.70 14

Arizona Pricing in Context

In Arizona, CPT code 72084 (X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views) carries an average Medicare payment of $22.10 — 42% below the national benchmark of $38.03. 62 providers across the state submitted claims for this procedure in 2023, performing 459 total services. Individual payments in AZ 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 Arizona is $90.80, 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 Arizona 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 Arizona lands near $64.88, with self-pay cash prices typically around $46.31. 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 Entire Middle And Lower Spine, Minimum Of 6 Views cost in Arizona?

The average Medicare payment for X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views in Arizona is $22.10, which is 42% below the national average of $38.03. Providers in AZ typically bill $90.80 for this procedure.

What does X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views cost with insurance in Arizona?

With commercial insurance in Arizona, X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views costs an estimated $64.88. Without insurance, the estimated cash price is $46.31. 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 Entire Middle And Lower Spine, Minimum Of 6 Views in Arizona?

62 providers in Arizona billed Medicare for X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views in 2023, performing 459 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views cheaper in Arizona than the national average?

Yes — X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views costs 42% below the national average in Arizona. The state average Medicare payment is $22.10 compared to $38.03 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