South Carolina · 73501

X-Ray Of Hip, 1 View in South Carolina

South Carolina Medicare Avg
$14.54
5% above national avg
National Medicare Avg
$13.82
All states combined
Billed Charge (SC)
$91.53
What providers submit
Est. Commercial (SC)
$46.68
National avg: $41.84
Est. Cash / Self-Pay (SC)
$40.07
Typical self-pay discount

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

2.6K
Services in SC
464
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in South Carolina

Provider Medicare Services
Stem, Eric MD $23.47 127
Zimlich, Richard M.D. $22.72 94

South Carolina Pricing in Context

In South Carolina, CPT code 73501 (X-Ray Of Hip, 1 View) carries an average Medicare payment of $14.54 — 5% above the national benchmark of $13.82. 464 providers across the state submitted claims for this procedure in 2023, performing 2.6K total services. Individual payments in SC 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 South Carolina is $91.53, 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 South Carolina 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 South Carolina lands near $46.68, with self-pay cash prices typically around $40.07. 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 South Carolina?

The average Medicare payment for X-Ray Of Hip, 1 View in South Carolina is $14.54, which is 5% above the national average of $13.82. Providers in SC typically bill $91.53 for this procedure.

What does X-Ray Of Hip, 1 View cost with insurance in South Carolina?

With commercial insurance in South Carolina, X-Ray Of Hip, 1 View costs an estimated $46.68. Without insurance, the estimated cash price is $40.07. 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 South Carolina?

464 providers in South Carolina billed Medicare for X-Ray Of Hip, 1 View in 2023, performing 2.6K total services. Medicare payments ranged from N/A to N/A depending on the provider.

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

No — X-Ray Of Hip, 1 View costs 5% above the national average in South Carolina. The state average Medicare payment is $14.54 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