Kentucky · 73630

X-Ray Of Foot, Minimum Of 3 Views in Kentucky

Kentucky Medicare Avg
$15.78
13% below national avg
National Medicare Avg
$18.05
All states combined
Billed Charge (KY)
$68.62
What providers submit
Est. Commercial (KY)
$45.98
National avg: $55.14
Est. Cash / Self-Pay (KY)
$35.29
Typical self-pay discount

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

31.8K
Services in KY
1.7K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Kentucky

Provider Medicare Services
Averion-Mahloch, Timothy M.D. $21.38 528

Kentucky Pricing in Context

In Kentucky, CPT code 73630 (X-Ray Of Foot, Minimum Of 3 Views) carries an average Medicare payment of $15.78 — 13% below the national benchmark of $18.05. 1.7K providers across the state submitted claims for this procedure in 2023, performing 31.8K 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 $68.62, 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 $45.98, with self-pay cash prices typically around $35.29. 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 Foot, Minimum Of 3 Views cost in Kentucky?

The average Medicare payment for X-Ray Of Foot, Minimum Of 3 Views in Kentucky is $15.78, which is 13% below the national average of $18.05. Providers in KY typically bill $68.62 for this procedure.

What does X-Ray Of Foot, Minimum Of 3 Views cost with insurance in Kentucky?

With commercial insurance in Kentucky, X-Ray Of Foot, Minimum Of 3 Views costs an estimated $45.98. Without insurance, the estimated cash price is $35.29. 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 Foot, Minimum Of 3 Views in Kentucky?

1.7K providers in Kentucky billed Medicare for X-Ray Of Foot, Minimum Of 3 Views in 2023, performing 31.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

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

Yes — X-Ray Of Foot, Minimum Of 3 Views costs 13% below the national average in Kentucky. The state average Medicare payment is $15.78 compared to $18.05 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