North Dakota · 73080

X-Ray Of Elbow, Minimum Of 3 Views in North Dakota

North Dakota Medicare Avg
$8.84
32% below national avg
National Medicare Avg
$13.00
All states combined
Billed Charge (ND)
$57.06
What providers submit
Est. Commercial (ND)
$25.15
National avg: $39.68
Est. Cash / Self-Pay (ND)
$25.12
Typical self-pay discount

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

1.1K
Services in ND
149
Providers
N/A
Min Payment
N/A
Max Payment

North Dakota Pricing in Context

In North Dakota, CPT code 73080 (X-Ray Of Elbow, Minimum Of 3 Views) carries an average Medicare payment of $8.84 — 32% below the national benchmark of $13.00. 149 providers across the state submitted claims for this procedure in 2023, performing 1.1K 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 $57.06, 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 $25.15, with self-pay cash prices typically around $25.12. 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 North Dakota?

The average Medicare payment for X-Ray Of Elbow, Minimum Of 3 Views in North Dakota is $8.84, which is 32% below the national average of $13.00. Providers in ND typically bill $57.06 for this procedure.

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

With commercial insurance in North Dakota, X-Ray Of Elbow, Minimum Of 3 Views costs an estimated $25.15. Without insurance, the estimated cash price is $25.12. 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 North Dakota?

149 providers in North Dakota billed Medicare for X-Ray Of Elbow, Minimum Of 3 Views in 2023, performing 1.1K 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 North Dakota than the national average?

Yes — X-Ray Of Elbow, Minimum Of 3 Views costs 32% below the national average in North Dakota. The state average Medicare payment is $8.84 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