Texas · 73501

X-Ray Of Hip, 1 View in Texas

Texas Medicare Avg
$12.97
6% below national avg
National Medicare Avg
$13.82
All states combined
Billed Charge (TX)
$82.52
What providers submit
Est. Commercial (TX)
$40.61
National avg: $41.84
Est. Cash / Self-Pay (TX)
$35.94
Typical self-pay discount

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

9.8K
Services in TX
1.7K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Texas

Provider Medicare Services
Shephard, David MD $22.01 553
Waddell, Bradford M.D. $23.75 327
Swdic Imaging Center Partnership,... $16.78 220
X-Ray On Wheels, Inc. $24.63 178
Chilcoat, Ronald MD $7.16 110

Texas Pricing in Context

In Texas, CPT code 73501 (X-Ray Of Hip, 1 View) carries an average Medicare payment of $12.97 — 6% below the national benchmark of $13.82. 1.7K providers across the state submitted claims for this procedure in 2023, performing 9.8K total services. Individual payments in TX 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 Texas is $82.52, 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 Texas 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 Texas lands near $40.61, with self-pay cash prices typically around $35.94. 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 Texas?

The average Medicare payment for X-Ray Of Hip, 1 View in Texas is $12.97, which is 6% below the national average of $13.82. Providers in TX typically bill $82.52 for this procedure.

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

With commercial insurance in Texas, X-Ray Of Hip, 1 View costs an estimated $40.61. Without insurance, the estimated cash price is $35.94. 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 Texas?

1.7K providers in Texas billed Medicare for X-Ray Of Hip, 1 View in 2023, performing 9.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

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

Yes — X-Ray Of Hip, 1 View costs 6% below the national average in Texas. The state average Medicare payment is $12.97 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