Missouri · 73630

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

Missouri Medicare Avg
$14.03
22% below national avg
National Medicare Avg
$18.05
All states combined
Billed Charge (MO)
$69.28
What providers submit
Est. Commercial (MO)
$40.45
National avg: $55.14
Est. Cash / Self-Pay (MO)
$33.64
Typical self-pay discount

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

57.4K
Services in MO
2.3K
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Missouri

Provider Medicare Services
Friedman, Michael MD $5.45 1.2K
Biotech X-Ray Inc $12.03 507
Jcmg Ancillary Services, Llc $14.46 478

Missouri Pricing in Context

In Missouri, CPT code 73630 (X-Ray Of Foot, Minimum Of 3 Views) carries an average Medicare payment of $14.03 — 22% below the national benchmark of $18.05. 2.3K providers across the state submitted claims for this procedure in 2023, performing 57.4K total services. Individual payments in MO 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 Missouri is $69.28, 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 Missouri 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 Missouri lands near $40.45, with self-pay cash prices typically around $33.64. 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 Missouri?

The average Medicare payment for X-Ray Of Foot, Minimum Of 3 Views in Missouri is $14.03, which is 22% below the national average of $18.05. Providers in MO typically bill $69.28 for this procedure.

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

With commercial insurance in Missouri, X-Ray Of Foot, Minimum Of 3 Views costs an estimated $40.45. Without insurance, the estimated cash price is $33.64. 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 Missouri?

2.3K providers in Missouri billed Medicare for X-Ray Of Foot, Minimum Of 3 Views in 2023, performing 57.4K 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 Missouri than the national average?

Yes — X-Ray Of Foot, Minimum Of 3 Views costs 22% below the national average in Missouri. The state average Medicare payment is $14.03 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