Maine · 73660

X-Ray Of Toe, Minimum Of 2 Views in Maine

Maine Medicare Avg
$6.77
40% below national avg
National Medicare Avg
$11.23
All states combined
Billed Charge (ME)
$34.04
What providers submit
Est. Commercial (ME)
$21.43
National avg: $34.85
Est. Cash / Self-Pay (ME)
$16.67
Typical self-pay discount

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

642
Services in ME
229
Providers
N/A
Min Payment
N/A
Max Payment

Maine Pricing in Context

In Maine, CPT code 73660 (X-Ray Of Toe, Minimum Of 2 Views) carries an average Medicare payment of $6.77 — 40% below the national benchmark of $11.23. 229 providers across the state submitted claims for this procedure in 2023, performing 642 total services. Individual payments in ME 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 Maine is $34.04, 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 Maine 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 Maine lands near $21.43, with self-pay cash prices typically around $16.67. 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 Toe, Minimum Of 2 Views cost in Maine?

The average Medicare payment for X-Ray Of Toe, Minimum Of 2 Views in Maine is $6.77, which is 40% below the national average of $11.23. Providers in ME typically bill $34.04 for this procedure.

What does X-Ray Of Toe, Minimum Of 2 Views cost with insurance in Maine?

With commercial insurance in Maine, X-Ray Of Toe, Minimum Of 2 Views costs an estimated $21.43. Without insurance, the estimated cash price is $16.67. 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 Toe, Minimum Of 2 Views in Maine?

229 providers in Maine billed Medicare for X-Ray Of Toe, Minimum Of 2 Views in 2023, performing 642 total services. Medicare payments ranged from N/A to N/A depending on the provider.

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

Yes — X-Ray Of Toe, Minimum Of 2 Views costs 40% below the national average in Maine. The state average Medicare payment is $6.77 compared to $11.23 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