Connecticut · 73030

X-Ray Of Shoulder, Minimum Of 2 Views in Connecticut

Connecticut Medicare Avg
$18.40
13% above national avg
National Medicare Avg
$16.34
All states combined
Billed Charge (CT)
$92.54
What providers submit
Est. Commercial (CT)
$63.21
National avg: $50.22
Est. Cash / Self-Pay (CT)
$44.04
Typical self-pay discount

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

30.4K
Services in CT
1.2K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Connecticut

Provider Medicare Services
Nicholson, Allen M.D. $29.08 645
Miller, Seth M.D. $28.49 564

Connecticut Pricing in Context

In Connecticut, CPT code 73030 (X-Ray Of Shoulder, Minimum Of 2 Views) carries an average Medicare payment of $18.40 — 13% above the national benchmark of $16.34. 1.2K providers across the state submitted claims for this procedure in 2023, performing 30.4K total services. Individual payments in CT 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 Connecticut is $92.54, 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 Connecticut 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 Connecticut lands near $63.21, with self-pay cash prices typically around $44.04. 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 Shoulder, Minimum Of 2 Views cost in Connecticut?

The average Medicare payment for X-Ray Of Shoulder, Minimum Of 2 Views in Connecticut is $18.40, which is 13% above the national average of $16.34. Providers in CT typically bill $92.54 for this procedure.

What does X-Ray Of Shoulder, Minimum Of 2 Views cost with insurance in Connecticut?

With commercial insurance in Connecticut, X-Ray Of Shoulder, Minimum Of 2 Views costs an estimated $63.21. Without insurance, the estimated cash price is $44.04. 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 Shoulder, Minimum Of 2 Views in Connecticut?

1.2K providers in Connecticut billed Medicare for X-Ray Of Shoulder, Minimum Of 2 Views in 2023, performing 30.4K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Shoulder, Minimum Of 2 Views cheaper in Connecticut than the national average?

No — X-Ray Of Shoulder, Minimum Of 2 Views costs 13% above the national average in Connecticut. The state average Medicare payment is $18.40 compared to $16.34 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