North Dakota · 72084

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

North Dakota Medicare Avg
$15.82
58% below national avg
National Medicare Avg
$38.03
All states combined
Billed Charge (ND)
$63.24
What providers submit
Est. Commercial (ND)
$43.21
National avg: $112.95
Est. Cash / Self-Pay (ND)
$33.59
Typical self-pay discount

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

50
Services in ND
19
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in North Dakota

Provider Medicare Services
Iwamoto, Matthew MD $13.01 19

North Dakota Pricing in Context

In North Dakota, CPT code 72084 (X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views) carries an average Medicare payment of $15.82 — 58% below the national benchmark of $38.03. 19 providers across the state submitted claims for this procedure in 2023, performing 50 total services. Individual payments in ND 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 North Dakota is $63.24, 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 North Dakota 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 North Dakota lands near $43.21, with self-pay cash prices typically around $33.59. 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 North Dakota?

The average Medicare payment for X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views in North Dakota is $15.82, which is 58% below the national average of $38.03. Providers in ND typically bill $63.24 for this procedure.

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

With commercial insurance in North Dakota, X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views costs an estimated $43.21. Without insurance, the estimated cash price is $33.59. 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 North Dakota?

19 providers in North Dakota billed Medicare for X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views in 2023, performing 50 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 North Dakota than the national average?

Yes — X-Ray Of Entire Middle And Lower Spine, Minimum Of 6 Views costs 58% below the national average in North Dakota. The state average Medicare payment is $15.82 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