Georgia · 73080

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

Georgia Medicare Avg
$13.97
7% above national avg
National Medicare Avg
$13.00
All states combined
Billed Charge (GA)
$87.36
What providers submit
Est. Commercial (GA)
$42.72
National avg: $39.68
Est. Cash / Self-Pay (GA)
$38.26
Typical self-pay discount

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

10.8K
Services in GA
1.9K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Georgia

Provider Medicare Services
Joshi, Nirav M.D. $7.09 80
Goodwin, Burton MD $5.19 73
Jiang, Jimmy M.D. $25.06 71
Armstrong, Linda DO $6.51 66

Georgia Pricing in Context

In Georgia, CPT code 73080 (X-Ray Of Elbow, Minimum Of 3 Views) carries an average Medicare payment of $13.97 — 7% above the national benchmark of $13.00. 1.9K providers across the state submitted claims for this procedure in 2023, performing 10.8K total services. Individual payments in GA 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 Georgia is $87.36, 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 Georgia 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 Georgia lands near $42.72, with self-pay cash prices typically around $38.26. 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 Georgia?

The average Medicare payment for X-Ray Of Elbow, Minimum Of 3 Views in Georgia is $13.97, which is 7% above the national average of $13.00. Providers in GA typically bill $87.36 for this procedure.

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

With commercial insurance in Georgia, X-Ray Of Elbow, Minimum Of 3 Views costs an estimated $42.72. Without insurance, the estimated cash price is $38.26. 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 Georgia?

1.9K providers in Georgia billed Medicare for X-Ray Of Elbow, Minimum Of 3 Views in 2023, performing 10.8K 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 Georgia than the national average?

No — X-Ray Of Elbow, Minimum Of 3 Views costs 7% above the national average in Georgia. The state average Medicare payment is $13.97 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