Tennessee · 73503

X-Ray Of Hip, Minimum Of 4 Views in Tennessee

Tennessee Medicare Avg
$22.62
22% below national avg
National Medicare Avg
$29.09
All states combined
Billed Charge (TN)
$106.48
What providers submit
Est. Commercial (TN)
$65.76
National avg: $88.08
Est. Cash / Self-Pay (TN)
$52.22
Typical self-pay discount

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

691
Services in TN
227
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Tennessee

Provider Medicare Services
Nash, John MD $41.45 101
Fine, Blakley PA-C $34.14 85
Sagar, James M.D. $9.55 38

Tennessee Pricing in Context

In Tennessee, CPT code 73503 (X-Ray Of Hip, Minimum Of 4 Views) carries an average Medicare payment of $22.62 — 22% below the national benchmark of $29.09. 227 providers across the state submitted claims for this procedure in 2023, performing 691 total services. Individual payments in TN 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 Tennessee is $106.48, 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 Tennessee 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 Tennessee lands near $65.76, with self-pay cash prices typically around $52.22. 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 Tennessee?

The average Medicare payment for X-Ray Of Hip, Minimum Of 4 Views in Tennessee is $22.62, which is 22% below the national average of $29.09. Providers in TN typically bill $106.48 for this procedure.

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

With commercial insurance in Tennessee, X-Ray Of Hip, Minimum Of 4 Views costs an estimated $65.76. Without insurance, the estimated cash price is $52.22. 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 Tennessee?

227 providers in Tennessee billed Medicare for X-Ray Of Hip, Minimum Of 4 Views in 2023, performing 691 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 Tennessee than the national average?

Yes — X-Ray Of Hip, Minimum Of 4 Views costs 22% below the national average in Tennessee. The state average Medicare payment is $22.62 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