South Carolina · 73503

X-Ray Of Hip, Minimum Of 4 Views in South Carolina

South Carolina Medicare Avg
$27.90
4% below national avg
National Medicare Avg
$29.09
All states combined
Billed Charge (SC)
$138.36
What providers submit
Est. Commercial (SC)
$88.80
National avg: $88.08
Est. Cash / Self-Pay (SC)
$66.39
Typical self-pay discount

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

772
Services in SC
161
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in South Carolina

Provider Medicare Services
Bohan, Michael MD $39.48 309
Poirier, Jonathan D.O. $9.69 33

South Carolina Pricing in Context

In South Carolina, CPT code 73503 (X-Ray Of Hip, Minimum Of 4 Views) carries an average Medicare payment of $27.90 — 4% below the national benchmark of $29.09. 161 providers across the state submitted claims for this procedure in 2023, performing 772 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 $138.36, 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 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 South Carolina lands near $88.80, with self-pay cash prices typically around $66.39. 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, Minimum Of 4 Views cost in South Carolina?

The average Medicare payment for X-Ray Of Hip, Minimum Of 4 Views in South Carolina is $27.90, which is 4% below the national average of $29.09. Providers in SC typically bill $138.36 for this procedure.

What does X-Ray Of Hip, Minimum Of 4 Views cost with insurance in South Carolina?

With commercial insurance in South Carolina, X-Ray Of Hip, Minimum Of 4 Views costs an estimated $88.80. Without insurance, the estimated cash price is $66.39. 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, Minimum Of 4 Views in South Carolina?

161 providers in South Carolina billed Medicare for X-Ray Of Hip, Minimum Of 4 Views in 2023, performing 772 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Hip, Minimum Of 4 Views cheaper in South Carolina than the national average?

Yes — X-Ray Of Hip, Minimum Of 4 Views costs 4% below the national average in South Carolina. The state average Medicare payment is $27.90 compared to $29.09 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