Rhode Island · 73501

X-Ray Of Hip, 1 View in Rhode Island

Rhode Island Medicare Avg
$14.87
8% above national avg
National Medicare Avg
$13.82
All states combined
Billed Charge (RI)
$77.27
What providers submit
Est. Commercial (RI)
$49.54
National avg: $41.84
Est. Cash / Self-Pay (RI)
$36.41
Typical self-pay discount

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

1.3K
Services in RI
108
Providers
N/A
Min Payment
N/A
Max Payment

Rhode Island Pricing in Context

In Rhode Island, CPT code 73501 (X-Ray Of Hip, 1 View) carries an average Medicare payment of $14.87 — 8% above the national benchmark of $13.82. 108 providers across the state submitted claims for this procedure in 2023, performing 1.3K total services. Individual payments in RI 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 Rhode Island is $77.27, 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 Rhode Island 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 Rhode Island lands near $49.54, with self-pay cash prices typically around $36.41. 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 Hip, 1 View cost in Rhode Island?

The average Medicare payment for X-Ray Of Hip, 1 View in Rhode Island is $14.87, which is 8% above the national average of $13.82. Providers in RI typically bill $77.27 for this procedure.

What does X-Ray Of Hip, 1 View cost with insurance in Rhode Island?

With commercial insurance in Rhode Island, X-Ray Of Hip, 1 View costs an estimated $49.54. Without insurance, the estimated cash price is $36.41. 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 Hip, 1 View in Rhode Island?

108 providers in Rhode Island billed Medicare for X-Ray Of Hip, 1 View in 2023, performing 1.3K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Hip, 1 View cheaper in Rhode Island than the national average?

No — X-Ray Of Hip, 1 View costs 8% above the national average in Rhode Island. The state average Medicare payment is $14.87 compared to $13.82 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