Indiana · 73610

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

Indiana Medicare Avg
$15.40
8% below national avg
National Medicare Avg
$16.65
All states combined
Billed Charge (IN)
$80.28
What providers submit
Est. Commercial (IN)
$44.14
National avg: $50.91
Est. Cash / Self-Pay (IN)
$37.84
Typical self-pay discount

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

23.5K
Services in IN
2.0K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Indiana

Provider Medicare Services
Gustaitis, John M.D. $5.44 224
Gustaitis, John M.D. $5.54 172

Indiana Pricing in Context

In Indiana, CPT code 73610 (X-Ray Of Ankle, Minimum Of 3 Views) carries an average Medicare payment of $15.40 — 8% below the national benchmark of $16.65. 2.0K providers across the state submitted claims for this procedure in 2023, performing 23.5K 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 $80.28, 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 $44.14, with self-pay cash prices typically around $37.84. 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 Indiana?

The average Medicare payment for X-Ray Of Ankle, Minimum Of 3 Views in Indiana is $15.40, which is 8% below the national average of $16.65. Providers in IN typically bill $80.28 for this procedure.

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

With commercial insurance in Indiana, X-Ray Of Ankle, Minimum Of 3 Views costs an estimated $44.14. Without insurance, the estimated cash price is $37.84. 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 Indiana?

2.0K providers in Indiana billed Medicare for X-Ray Of Ankle, Minimum Of 3 Views in 2023, performing 23.5K 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 Indiana than the national average?

Yes — X-Ray Of Ankle, Minimum Of 3 Views costs 8% below the national average in Indiana. The state average Medicare payment is $15.40 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