Kentucky · 73522

X-Ray Of Both Hips, 3-4 Views in Kentucky

Kentucky Medicare Avg
$19.20
20% below national avg
National Medicare Avg
$23.93
All states combined
Billed Charge (KY)
$92.14
What providers submit
Est. Commercial (KY)
$55.94
National avg: $74.11
Est. Cash / Self-Pay (KY)
$45.32
Typical self-pay discount

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

1.6K
Services in KY
385
Providers
N/A
Min Payment
N/A
Max Payment

Kentucky Pricing in Context

In Kentucky, CPT code 73522 (X-Ray Of Both Hips, 3-4 Views) carries an average Medicare payment of $19.20 — 20% below the national benchmark of $23.93. 385 providers across the state submitted claims for this procedure in 2023, performing 1.6K total services. Individual payments in KY 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 Kentucky is $92.14, 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 Kentucky 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 Kentucky lands near $55.94, with self-pay cash prices typically around $45.32. 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 Both Hips, 3-4 Views cost in Kentucky?

The average Medicare payment for X-Ray Of Both Hips, 3-4 Views in Kentucky is $19.20, which is 20% below the national average of $23.93. Providers in KY typically bill $92.14 for this procedure.

What does X-Ray Of Both Hips, 3-4 Views cost with insurance in Kentucky?

With commercial insurance in Kentucky, X-Ray Of Both Hips, 3-4 Views costs an estimated $55.94. Without insurance, the estimated cash price is $45.32. 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 Both Hips, 3-4 Views in Kentucky?

385 providers in Kentucky billed Medicare for X-Ray Of Both Hips, 3-4 Views in 2023, performing 1.6K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Both Hips, 3-4 Views cheaper in Kentucky than the national average?

Yes — X-Ray Of Both Hips, 3-4 Views costs 20% below the national average in Kentucky. The state average Medicare payment is $19.20 compared to $23.93 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