Idaho · 73610

X-Ray Of Ankle, Minimum Of 3 Views in Idaho

Idaho Medicare Avg
$11.66
30% below national avg
National Medicare Avg
$16.65
All states combined
Billed Charge (ID)
$65.57
What providers submit
Est. Commercial (ID)
$33.72
National avg: $50.91
Est. Cash / Self-Pay (ID)
$30.08
Typical self-pay discount

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

6.9K
Services in ID
662
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Idaho

Provider Medicare Services
Fuchs, Michael M.D. $5.92 277
Mcmahan, Brian M.D. $5.87 181
Mortensen, Wayne M.D. $5.80 174

Idaho Pricing in Context

In Idaho, CPT code 73610 (X-Ray Of Ankle, Minimum Of 3 Views) carries an average Medicare payment of $11.66 — 30% below the national benchmark of $16.65. 662 providers across the state submitted claims for this procedure in 2023, performing 6.9K total services. Individual payments in ID 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 Idaho is $65.57, 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 Idaho 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 Idaho lands near $33.72, with self-pay cash prices typically around $30.08. 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 Ankle, Minimum Of 3 Views cost in Idaho?

The average Medicare payment for X-Ray Of Ankle, Minimum Of 3 Views in Idaho is $11.66, which is 30% below the national average of $16.65. Providers in ID typically bill $65.57 for this procedure.

What does X-Ray Of Ankle, Minimum Of 3 Views cost with insurance in Idaho?

With commercial insurance in Idaho, X-Ray Of Ankle, Minimum Of 3 Views costs an estimated $33.72. Without insurance, the estimated cash price is $30.08. 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 Ankle, Minimum Of 3 Views in Idaho?

662 providers in Idaho billed Medicare for X-Ray Of Ankle, Minimum Of 3 Views in 2023, performing 6.9K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Ankle, Minimum Of 3 Views cheaper in Idaho than the national average?

Yes — X-Ray Of Ankle, Minimum Of 3 Views costs 30% below the national average in Idaho. The state average Medicare payment is $11.66 compared to $16.65 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