Delaware · 73650

X-Ray Of Heel, Minimum Of 2 Views in Delaware

Delaware Medicare Avg
$12.23
11% below national avg
National Medicare Avg
$13.81
All states combined
Billed Charge (DE)
$62.75
What providers submit
Est. Commercial (DE)
$38.33
National avg: $42.82
Est. Cash / Self-Pay (DE)
$30.03
Typical self-pay discount

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

179
Services in DE
82
Providers
N/A
Min Payment
N/A
Max Payment

Delaware Pricing in Context

In Delaware, CPT code 73650 (X-Ray Of Heel, Minimum Of 2 Views) carries an average Medicare payment of $12.23 — 11% below the national benchmark of $13.81. 82 providers across the state submitted claims for this procedure in 2023, performing 179 total services. Individual payments in DE 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 Delaware is $62.75, 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 Delaware 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 Delaware lands near $38.33, with self-pay cash prices typically around $30.03. 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 Heel, Minimum Of 2 Views cost in Delaware?

The average Medicare payment for X-Ray Of Heel, Minimum Of 2 Views in Delaware is $12.23, which is 11% below the national average of $13.81. Providers in DE typically bill $62.75 for this procedure.

What does X-Ray Of Heel, Minimum Of 2 Views cost with insurance in Delaware?

With commercial insurance in Delaware, X-Ray Of Heel, Minimum Of 2 Views costs an estimated $38.33. Without insurance, the estimated cash price is $30.03. 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 Heel, Minimum Of 2 Views in Delaware?

82 providers in Delaware billed Medicare for X-Ray Of Heel, Minimum Of 2 Views in 2023, performing 179 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Heel, Minimum Of 2 Views cheaper in Delaware than the national average?

Yes — X-Ray Of Heel, Minimum Of 2 Views costs 11% below the national average in Delaware. The state average Medicare payment is $12.23 compared to $13.81 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