Indiana · 73590

X-Ray Of Lower Leg, 2 Views in Indiana

Indiana Medicare Avg
$8.81
12% below national avg
National Medicare Avg
$10.02
All states combined
Billed Charge (IN)
$53.55
What providers submit
Est. Commercial (IN)
$25.24
National avg: $30.30
Est. Cash / Self-Pay (IN)
$23.74
Typical self-pay discount

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

8.5K
Services in IN
1.3K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Indiana

Provider Medicare Services
Selley, Robert D.O. $6.27 136
Gustaitis, John M.D. $5.13 90

Indiana Pricing in Context

In Indiana, CPT code 73590 (X-Ray Of Lower Leg, 2 Views) carries an average Medicare payment of $8.81 — 12% below the national benchmark of $10.02. 1.3K providers across the state submitted claims for this procedure in 2023, performing 8.5K total services. Individual payments in IN 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 Indiana is $53.55, 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 Indiana 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 Indiana lands near $25.24, with self-pay cash prices typically around $23.74. 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 Lower Leg, 2 Views cost in Indiana?

The average Medicare payment for X-Ray Of Lower Leg, 2 Views in Indiana is $8.81, which is 12% below the national average of $10.02. Providers in IN typically bill $53.55 for this procedure.

What does X-Ray Of Lower Leg, 2 Views cost with insurance in Indiana?

With commercial insurance in Indiana, X-Ray Of Lower Leg, 2 Views costs an estimated $25.24. Without insurance, the estimated cash price is $23.74. 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 Lower Leg, 2 Views in Indiana?

1.3K providers in Indiana billed Medicare for X-Ray Of Lower Leg, 2 Views in 2023, performing 8.5K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Lower Leg, 2 Views cheaper in Indiana than the national average?

Yes — X-Ray Of Lower Leg, 2 Views costs 12% below the national average in Indiana. The state average Medicare payment is $8.81 compared to $10.02 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