Alabama · 73080

X-Ray Of Elbow, Minimum Of 3 Views in Alabama

Alabama Medicare Avg
$12.17
6% below national avg
National Medicare Avg
$13.00
All states combined
Billed Charge (AL)
$63.71
What providers submit
Est. Commercial (AL)
$36.60
National avg: $39.68
Est. Cash / Self-Pay (AL)
$30.00
Typical self-pay discount

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

5.3K
Services in AL
964
Providers
N/A
Min Payment
N/A
Max Payment

Alabama Pricing in Context

In Alabama, CPT code 73080 (X-Ray Of Elbow, Minimum Of 3 Views) carries an average Medicare payment of $12.17 — 6% below the national benchmark of $13.00. 964 providers across the state submitted claims for this procedure in 2023, performing 5.3K total services. Individual payments in AL 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 Alabama is $63.71, 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 Alabama 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 Alabama lands near $36.60, with self-pay cash prices typically around $30.00. 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 Elbow, Minimum Of 3 Views cost in Alabama?

The average Medicare payment for X-Ray Of Elbow, Minimum Of 3 Views in Alabama is $12.17, which is 6% below the national average of $13.00. Providers in AL typically bill $63.71 for this procedure.

What does X-Ray Of Elbow, Minimum Of 3 Views cost with insurance in Alabama?

With commercial insurance in Alabama, X-Ray Of Elbow, Minimum Of 3 Views costs an estimated $36.60. Without insurance, the estimated cash price is $30.00. 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 Elbow, Minimum Of 3 Views in Alabama?

964 providers in Alabama billed Medicare for X-Ray Of Elbow, Minimum Of 3 Views in 2023, performing 5.3K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Elbow, Minimum Of 3 Views cheaper in Alabama than the national average?

Yes — X-Ray Of Elbow, Minimum Of 3 Views costs 6% below the national average in Alabama. The state average Medicare payment is $12.17 compared to $13.00 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