West Virginia · 73650

X-Ray Of Heel, Minimum Of 2 Views in West Virginia

West Virginia Medicare Avg
$9.84
29% below national avg
National Medicare Avg
$13.81
All states combined
Billed Charge (WV)
$50.85
What providers submit
Est. Commercial (WV)
$30.17
National avg: $42.82
Est. Cash / Self-Pay (WV)
$24.51
Typical self-pay discount

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

311
Services in WV
147
Providers
N/A
Min Payment
N/A
Max Payment

West Virginia Pricing in Context

In West Virginia, CPT code 73650 (X-Ray Of Heel, Minimum Of 2 Views) carries an average Medicare payment of $9.84 — 29% below the national benchmark of $13.81. 147 providers across the state submitted claims for this procedure in 2023, performing 311 total services. Individual payments in WV 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 West Virginia is $50.85, 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 West Virginia 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 West Virginia lands near $30.17, with self-pay cash prices typically around $24.51. 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 West Virginia?

The average Medicare payment for X-Ray Of Heel, Minimum Of 2 Views in West Virginia is $9.84, which is 29% below the national average of $13.81. Providers in WV typically bill $50.85 for this procedure.

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

With commercial insurance in West Virginia, X-Ray Of Heel, Minimum Of 2 Views costs an estimated $30.17. Without insurance, the estimated cash price is $24.51. 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 West Virginia?

147 providers in West Virginia billed Medicare for X-Ray Of Heel, Minimum Of 2 Views in 2023, performing 311 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 West Virginia than the national average?

Yes — X-Ray Of Heel, Minimum Of 2 Views costs 29% below the national average in West Virginia. The state average Medicare payment is $9.84 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