Kentucky · 73120

X-Ray Of Hand, 2 Views in Kentucky

Kentucky Medicare Avg
$14.56
1% above national avg
National Medicare Avg
$14.37
All states combined
Billed Charge (KY)
$61.59
What providers submit
Est. Commercial (KY)
$42.10
National avg: $43.83
Est. Cash / Self-Pay (KY)
$31.97
Typical self-pay discount

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

3.1K
Services in KY
369
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Kentucky

Provider Medicare Services
Johannemann, Andrew $21.87 273
Napolitano, Margaret M.D. $18.53 162
Boone, Benjamin M.D. $15.29 118

Kentucky Pricing in Context

In Kentucky, CPT code 73120 (X-Ray Of Hand, 2 Views) carries an average Medicare payment of $14.56 — 1% above the national benchmark of $14.37. 369 providers across the state submitted claims for this procedure in 2023, performing 3.1K total services. Individual payments in KY 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 Kentucky is $61.59, 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 Kentucky 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 Kentucky lands near $42.10, with self-pay cash prices typically around $31.97. 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 Hand, 2 Views cost in Kentucky?

The average Medicare payment for X-Ray Of Hand, 2 Views in Kentucky is $14.56, which is 1% above the national average of $14.37. Providers in KY typically bill $61.59 for this procedure.

What does X-Ray Of Hand, 2 Views cost with insurance in Kentucky?

With commercial insurance in Kentucky, X-Ray Of Hand, 2 Views costs an estimated $42.10. Without insurance, the estimated cash price is $31.97. 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 Hand, 2 Views in Kentucky?

369 providers in Kentucky billed Medicare for X-Ray Of Hand, 2 Views in 2023, performing 3.1K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Hand, 2 Views cheaper in Kentucky than the national average?

No — X-Ray Of Hand, 2 Views costs 1% above the national average in Kentucky. The state average Medicare payment is $14.56 compared to $14.37 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